227636 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 215000 Page 1 of 1
ONE CIVIC SQUARE NAPA AUTO PARTS-DISTRIBUTION CETMECK AMOUNT: $798.00
o CARMEL, INDIANA 46032 PO BOX 102218
ATLANTA CA 30368 CHECK NUMBER: 227636
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4357004 055758 798 . 00 REISSUE CK 225908
4RAPAI DISTRIBUTION CENTER
®a
Ari100 I N V O I C E 10/22/13 Page 1
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Remit To:
IND NAPA AUTO PARTS
P.O. BOX 102218
ATLANTA, GA 30368
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Charged To: Invoice # 055758
17995 CITY OF CARMEL-STREET DEPT
3400 W 131ST ST
CARMEL, IN 46074
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Date Reference # Description of Charges Amount
-------- -------------
----------------------------------- -------------
10/22/13 JE - 0027203 INDY DIESEL SUMMIT 798.00
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Total Due 798.00
----- This is your invoice -----
VOUCHER NO. WARRANT NO.
ALLOWED 20
Napa Auto Parts - Distribution Center
IN SUM OF $
P.O. Box 102218 ,y21 A
Atlanta, GA 303684
$798.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE I AMOUNT Board Members
2201 055758 43-570.04 $798.00 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
Th ay, r 1 2n13
VVVV LQ
-----------------
Sfte0Caam ftslimeer
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))
10/22/13 055758 $798.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Napa Auto Parts - Distribution Center
IN SUM OF $
P.O. Box 102218
Atlanta, GA 30368
$798.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 055758 43-570.04 $798.00 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
Th ay, r !,f013
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund