227354 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPCK AMOUNT: $37.53
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
y,oN�o. CHICAGO IL 60693 CHECK NUMBER: 227354
CHECK DATE: 12/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 08502867 37 . 53 OTHER EXPENSES
100006017
CARMEL NAPA Time: 12:49 Invoice Number 907616£
�NAPAI k 1441 S GUILFORD AVE STE 140
REF BYJ VER BY Date: 12/10/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
2867 Employee: 1 Duane
CARMEL WASTEWATER Sales Rep: 10 Store Y Y
760 3RD AVE SW Accounting Day: 10 OCR
® CARMEL, IN 46032-2072 .�_.._ .,�_� .... ,,,,.��,.�_.. . .......�.. _� ., .. _.._.__
1000060179076169
Part Number Line Descry tion; 4 z �::Quaritity PriCe --: ., Net Y" Total•„vf
€ � �.�. � w P- ���:
BP9007 `LMP HALOGEN CAPSULE 1.00 15.38 9.5400: 9.54
8234054 BK UNIV HD RIB FLR MAT 36. 9 27.9900' 27.99
0DEC. 1 32013
7.550 Z,d
Delivery. y Subtotal 37.53
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: Locate Vehicle
Terms:
Charge Sale 37.53
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
VOUCHER # 137040 WARRANT # ALLOWED
355214 IN SUM OF $
NAPA - GENUINE PARTS CO - INDIANS
5959 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
907616 01-7502-06 , $37.53
Voucher Total $37.53
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
355214
NAPA-GENUINE PARTS CO-INDIANAPOLIS Purchase Order No.
5959 COLLECTIONS CENTER DRIVE Terms
CHICAGO, IL 60693 Due Date 12/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/11/201, 907616 $37.53
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
Date Officer