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226985 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 `` c,+*f ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA PpLI� CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK AMOUNT: $783.17 + '�� ,o�� CHECK NUMBER: 226985 CHECK DATE: 12/11/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 08517996 206 . 19 REPAIR PARTS 1120 4238000 08517996 576 . 98 SMALL TOOLS & MINOR E Page 1 of i STATEMENT OF ACCOUNT WITH 'H ' ACCOUNT NO. TERMS �. 1 08517996 GOVT.45 DAYS NET CLOSING DATE PAST DUE DATE SEQUENCE NO. 10/03 I 898471 15.7 0 4 2 10/08 I 899228 4.58 45 11/30/13 12/15/13 20945517 10/14 I 900004 39.9 tationl 10/21 I 900881 108. 4 184 PREVIOUS BALANCE PAYMENT RECEIVED DISCOUNT EARNED 10/21 I 900920 12 2 ubEd 822 .62 393 .64- 00 10/28 I 901887 19 .75 Car 47 10/30 I 902229 .99 hop tools NEW CHARGES & CREDITS FINANCE CHARGE NEW BALANCE 10/31 I 902354 1.Ol 9 sub 147.52 .00 576.50 11/12 I 904041 T: 29.99 00/00 . . .00 Station 44 TOTAL PAST DUE CURRENT FUTURE 11/13 I 9 04131 ET: 94.01 AGED 00 00 . . .00 E 966 ACCOUNT .00 428.98 147.52 11/27 I 906059 1 T: 23 .52 STATUS PAST DUE 10 DAYS PAST DUE 40 DAYS PAST DUE 70 OR MORE 00/00 . . . . . .00 ngi ne 45 .00 .0 0 .00 S CUSTOMER: \'io CITY OF CARMEL-FIRE DEPT 2 CIVIC SQUARE CARMEL IN 46032-2584 If you have QUESTIONS CALL (877) 558-9287 Press 1 for invoice copies. Visit our website for invoice copies at www.na;aaccount Please Pay The Total Due No Later Than 12/15/13 Thank You. LEASE REMIT TO: GENUINE PARTS COMPANY - INDIANAPOLIS, IN 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 Important: To insure proper credit please return right side of statement with your payment. If for some reason all items re not paid, please enter a check mark and explanation wide each item NOT PAID. TOTAL DUE "\�°� SHOW AMOUNT PAID $ Please Remit this Statement with Payment and Retain a copy for your Records *TYPE CODES RI INVOICE RE CHARGE BACK RM CREDIT MEMO RU UNAPPLIED PAYMENT RF FINANCE CHARGE X# MISCELLANEOUS ACCOUNTING ENTRY WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D E B AND EQUIFAX 100006017 r 902229 CARMEL NAPA Time: 12:18 Invoic er 1441 S GUILFORD AVE STE 140 El REF BY VER BY _ Date: 10/30/2013 CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 N7996 Employee: 36 Tige ® CITY OF CARMEL-FIRE DEPT Sales Rep: 36 Tige Y Y 2 CIVIC SQUARE Accounting Day: 30 $ ; OCR ® CARMEL, IN 46032-2584 1000060179022299 P.art'Number Line m y DescriptionA ,•Quantity "` `Price, ; Net Total 90475 fNTH ;GAUGE 1.00 99.60 29.9900 29.99 Above Item on Sale 'Delivery Subtotal 29.99 .. Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: shop tools Terms: 29;,..99 Charge Sale 29.99 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 f CARMEL NAPA Time: 07:38 Invoice Number 9067071 OAK 1441 S GUILFORD AVE STE 140 REF BY VER BY Date: 12/04/2013 <; CARMEL, IN 46032-2922 c (317) 844-3973 Page: 1/1 17996 Employee: 1 Duane CITY OF CARMEL-FIRE DEPT Sales Rep: 36 Tige Y Y 2 .CIVIC SQUARE Accounting Day: 4 OCR w CARMEL, IN 46032-2584 _..,._ _...... _....._. 1000060179067071 °=Part Number °liinea ?�Description�, y"Quariti't Prue .! Net £ Total Y � .. " t, �e a . .a a a__ 782-7114 'BK 90 LED ON CORD REEL 2.001 256.40. 149.0000` 298.00 8211359 <BK 3 8INX50FT HOSE REEL 1.001 397.92' 169.00001 169.00 ( Above Item on Sale 8156238 BK !CREEPER-PLASTIC BODY 1.00; 143.47': 79.9900` 79.99 i Above Item on Sale Deliver to the front door with the receptionist. i .w.....,„..,...._, .. _. . ..._...... ._......... ... Delivery: Our Truck N- 99-19.38 Subtotal 546.99 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Shop Tools Terms: Totar� 546.E 99 l Charge Sale 546.99 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 CARMEL NAPA Time: 13:55 Invoice Number 906638 N 1441 S GUILFORD AVE STE 140 � REF BY VER BY Date: 12/03/2013 :. CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17996 Employee: 1 Duane CITY OF CARMEL-FIRE DEPT Sales Rep: 36 Tige Y Y 2 CIVIC SQUARE Accounting Day: 3 OCR a CARMEL, IN 46032-2584 _.... .. __....,.,._.. w 1000060179066385 %?. P•art Numberw Line Descri tiori Quant.,ty. Price „• Net ,••,,:Total.” , 703-1708 BK RADIATOR CAP 1.00` 7.40` 5.4900; 5.49 S Delivery: Subtotal 5.49 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: E43 Terms: " T.otal '5" 49 Charge Sale 5.49 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 CARMEL NAPA Time: 14:36 Invoice Number 906649'. IN APAI , 1441 S GUILFORD AVE STE 140 REF BY_ VER BY Date: 12/03/2013 CARMEL, IN 46032-2922 c (317) 844-3973 Page: 1/1 w_... 17996 Employee. 1 Duane CITY OF CARMEL-FIRE DEPT Sales Rep: 36 Tige Y Y 2 CIVIC SQUARE Accounting Day: 3 OCR a CARMEL, IN 46032-2584 w _... 1000060179066492 Part Number 'y 'lime `' Description :Quaff tity� rice Net„ .z � TOtal e ,? H-1709 'NBH `MULTI-DUTY HOSE 4.00 3.14; 2.3600: 9.44 a f a t e Delivery: Subtotal 9.44 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: E43 Terms: Charge Sale 9.44 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 ._......... _.. CARMEL NAPA Time: 14:40 Invoice Number 906653" WAPAI 1441 S GUILFORD AVE STE 140 REF BY VER BY Date: 12/03/2013 CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17996 Employee: 1 Duane CITY OF CARMEL-FIRE DEPT Sales Rep: 36 Tige Y Y 2 CIVIC SQUARE Accounting Day: 3 OCR CARMEL, IN 46032-2584 1000060179066535 a.+,N , f �. "' ,r k ;.,•r P " ; y ey ,' D `' k.d`» 4 'Part Number Line Description Quantat �`PriCe Net, 1GAL NAF :NAPA ANTIFREEZE GAL 5.00. 15.99; 9.8000 49.00 i ~ P I Delivery: Subtotal 49.00 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: { PO#: Supplies Terms: `� " Total 49 00 Charge Sale 49.00 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 CARMEL NAPA Time: 07:32 Invoice Number 904131+ AN 1441 S GUILFORD AVE STE 140 REF BY VER BY Date: 11/13/2013 CARMEL, IN 46032-2922 , (317) 844-3973 Page: 1/1 17996 Employee: 36 Tige CITY OF CARMEL-FIRE DEPT Sales Rep: 36 Tige Y Y 2 CIVIC SQUARE Accounting Day: 13 OCR CARMEL, IN 46032-2584 1000060179041312 art Number Line ": Descri tion ,_ .w�.. .� mow. � .,ap��. � 4uanti-Lys Price Net •;Total � 2007 Chevrolet Truck Tahoe 6552437 BK Blower Motor - AC / Heater 1.00: 151.40? 94.0100; 94.01 Delivery: Subtotal 94.01 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exem PO#: 5966 Terms: Charge Sale 94.01 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 ....._v... CARMEL NAPA Time: 13:27 'f Invoice Number 904041' El ` 1441 S GUILFORD AVE STE 140 REF BY VER BY Date: 11/12/2013 CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 Y p' 17996 Employee: I Duane CITY OF CARMEL-FIRE DEPT Sales Re 36 Ti e Y Y 2 CIVIC SQUARE Accounting Day: 12 OCR m CARMEL, IN 46032-2584 ---- ,� ---- --.� - _ . . ..__.. _. ... _.__ 1000060179040411 Part'Number gL ne Descr ption Quantity Price - Net z< .Total 90475 iNTH !GAUGE 1.00 99.60' 29.9900- 29.99 Above Item on Sale Delivery: Subtotal 29.99 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: *Signatur ation 44 #. THS Total 29 99 c:! Charge Sa e .., 29.99 C to �sj/J �/ALL GOODS RET NED MUST BE ACCOMPAIN ��GG//rf�'��tC/J REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 __.,..,. CARMEL NAPA Time: 14:01 Invoice Number 906803; E3 APAI AM 1441 S GUILFORD AVE STE 140 ,� REF BY VER BY Date: 12/04/2013 CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17996 j Employee: 1.,. Duane CITY OF CARMEL-FIRE DEPT Sales Rep: 36 Tige Y Y 2 CIVIC SQUARE Accounting Day: 4 OCR m CARMEL, IN 46032-2584 __._.... ..._._ 1000060179068034 Part Number liine Desc'rzptson uantity a Price" Vet "Total : - x,lQ ... 1997 Chevrolet Truck K2500 3/4 Ton' 4WD - Pickup 735-6225 �NOE 'Door Handle - Interior 1.00== 40.78 24.7300.'. 24.73 F i a t , ........-,-...- ........�,............... ..._ ...w......., .,.,.,.,. Delivery Subtotal 24.73 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: UT45 Terms: r Total 24 . 7; Charge Sale 24.73 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY VOUCHER NO. WARRANT NO. ALLOWED 20 Genuine Parts Co - Napa IN SUM OF $ 5959 Collections Center Drive Chicago, IL 60693 $783.17 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 1120 42-380.00 j $576.98 1 hereby certify that the attached invoice(s), or 1120 42-370.00 $206.19 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except DEC - 9 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 3rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Nn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by vhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) $576.98 $206.19 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer