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234952 07/16/14 Z CITY OF CARMEL, INDIANA VENDOR: 362834 ONE CIVIC SQUARE R& R PRODUCTS INC CHECK AMOUNT: $*«"""*"758.36" Kli� ?1 CARMEL, INDIANA 46032 3334 E MILBER ST CHECK NUMBER: 234952 'M��eN.�. TUCSON AZ 85714 CHECK DATE: 07/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 CD1811813 758.36 EQUIPMENT REPAIRS & M l~ R&R PRODUCTS, INC. Invoice Invoice Number Invoice Date Total Invoice Amount 3334 East Milber Street CD1811813 7/8/14 $758.36 RoallTucson,AZ 85714 ORIGINAL hiodUctS PH(520)889 3593 Order Number Due Date Customer Number FAX(520)294 1045 Page 1 of 1 R972738 8/7/14 46032B Purchase Order Number Order Received Terms of Payment Terms of Delivery Ship Via RUSSEL 7/8/14 30 Das Net DELIVERED FED EX 2 DAY Invoice Address Delivery Address BROOKSHIRE GOLF CLUB R BROOKSHIRE GOLF CLUB R ATTN: GOLF COURSE MAINTENANCE ATTN: GOLF COURSE MAINTENANCE 12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY CARMEL, IN 46033-3314 CARMEL, IN 46033-3314 Line Part Number Description Quantity Unit Unit Price Discount Price Total 1 R-108-9096-- -Bedknife-Standard-- - - - ----- ---- -10.-00-EX--_- 36.15-- 0%- 2 R115-3418 Roller Assy_-Cast Iron 1.00 EA 114.60 0% 114.60 3 R108-9017 Bearing-Stainless 4.00 EA 16.20 0% 64.80 4 RTD-1026 Roller-4 UHMW Anti-Scalp 1.00 EA 28.05 0% 28.05 5 R72-9361 Cup-Anti-Scalp 2.00 EA 15.55 0% 31.10 6 R65-8250 Bedknife-Tournament 1/16 3.00 EA 26.85 0% 80.55 7 R251-141 Bearing - Roller 2.00 EA 14.25 0% 28.50 8 R253-83 Seal -Oil 7/8 OD x 5/8 ID 2.00 EA 4.00 0% 8.00 9 R3290-317 Washer-Wave 2.00 EA 0.93 0% 1.86 10 R99-1460 Receiver- Ball Joint 2.00 EA 8.00 0% 16.00 11 R3-1506 Bushing 12.00 EA 1.95 0% 23.40 12 R1770 Calipers-61N Dial - Inches 1.00 EA 0.00 0% 0.00 Sub Total, before charges 758.36 Sub Total, before tax 758.36 You can also pay your invoice using your credit card. Total Tax 0.00 We accept Visa, Mastercard, American Express and Discover. Total Invoice Amount 758.36 For details, please call Customer Service at 800-528-3446 npn nli i.,�n:npgn ni.12..�._..�.4. .,,N.._ - - -"�fements 2[L'4w.,_ VOUCHER NO. WARRANT NO. ALLOWED 20 R & R Products, Inc. IN SUM OF$ 3334 E. Milber Street Tucson, AZ 85714 $758.36 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1207 I CD1811813 I 43-500.00 I $758.36 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 Monday, July 14, 2014 Director, Brookshi 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)) 07/08/14 CD1811813 Repair Parts $758.36 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