HomeMy WebLinkAbout228530 1/28/2014 �E CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
1 � ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPCK AMOUNT: $22.58
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 228530
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4237000 08501898 22 . 58 912103
100006017
ElCARMEL NAPA Time: 12:44
R , Invoice Number 912103
a 1441 S GUILFORD AVE STE 140
REF BY VER BY Date: 01/16/2014
CARMEL, IN 46032-2922
z
(317) 844-3973 Page: 1/1
1898 Employee: 19 Jim
CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store Y Y f
1 CIVIC SQ Accounting Day: 15 OCR
a CARMEL, IN 46032-2584 _..• _._. _ ___...... _____.._ _ _
1000060179121039
Part Number c Line Descr ption v „Quantity Price >s CNet Total ,
2000 Chevrolet Truck Silverado 250;0 3/4 Toni4WD - P
60022 WIP Wiper Blade - AccuFit - Front OE2.00 16.98? 11.2900' 22.58
1
S.
Anticipated Time: Our Truck NE- 3-13:44 Subtotal 22.58
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
TO'tal�
Charge Sale 22.58
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 STORE COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$22.58
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
_U �cl,W
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 912103 I 42-370.00 I $22.58 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, January 24, 2014
I
Director, Brookshir olf Club
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))
01/16/14 I 912103 I Repair Parts I $22.58
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