227353 12/17/2013 -�,•,F CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P_CHECK AMOUNT: $26.66
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 227353
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 085008081 26 . 66 907553
100006017 _.._..... , _.
ElCARMEL NAPA Time: 10:18 Invoice Number 907553.
AM 1441 S GUILFORD AVE STE 140
w REF BY VER BY Date: 12/10/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
8081 Employee: 1 , Duane
CITY OF CARMEL-BUILDING MAINT Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 10 OCR
m CARMEL, IN 46032-2584 L_... ,,,. ,, ...... ._........ _.
1000060179075534
Part'Number ra Line -' FDe5cr iption hQuantity Price °_ Net "POtal
2006 Ford Truck Escape
60-010-1 WIP €Wiper Blade AccuFit - Rear - OE 1.00• 15.18 7.5900 7.59
Above Item on Sale
60-020 'WIP Wiper Blade - AccuFit - Driver's 1.00, 15.18 7.5900' 7.59
Above Item on Sale
60018 WIP .Wiper Blade - AccuFit - 1.001 14.38: 7.1900' 7.19
Above Item on Sale
AS250 €NCB PRESTONE WIND DE-ICE 1.00= 8.381 4 2900' 4.29
Delivery. Subtotal 26.66
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: trk 93
Terms:
Total" 2 6 b 6
Customer Signature Charge Sale 26.66
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
Carmel NAPA
IN SUM OF $
1441 S. Guilford Avenue, Ste. 140
Carmel, IN 46032-2922
$26.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
1192 I 907553 I 43-510.00 I $26.66 1 hereby certify that the attached invoice(s), or
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
Friday, D celer 12-9013J
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, 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))
12/10/13 907553 New wipers $26.66
I 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