HomeMy WebLinkAbout239030 11/11/14 CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPOIIIf!>`CK AMOUNT: $......*117.92*
f, ?�; CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 239030
9M��tUN L-0` CHICAGO IL 60693 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 117.92 EQUIPMENT REPAIRS & M
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111111117 _.__.._:,..,.,..,.__, . :_........,:...... :...,.._,._...:.......:...........:...:
CARMEL NAPA Time: 09:04 Invoice Number 955400
1441 S GUILFORD RD STE 140
,NAPA -
REF BY VER BY Date: 11/04/2014
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
1898 Employee 3 DAVE
CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep. 10 Store ] Y Y
1 CIVIC SQ Accounting Day 4 d1 OCR
CARMEL, IN 46032-2584 _,._..,,________ m..,,,___.._ _.__ _.,_.._.�..,,,._w 1000060179554008
3472 FIL EFuel Dispensing Pump Filter E 2.00J 29.52 21.4900] 42.98
7035 €FIL NAPAGOLD OIL FILTER 6.009 18.66 12.4900=1= 74.94
Delivery: Subtotal 117.92
Attention: ; Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Charge Sale 117.92
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF$
5959 Collection Ctr. Drive
Chicago, IL 60693
$117.92
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
o�gsti 1�� �
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT _ Board Members
1207 I 955400 I 43-500.00 I $117.92 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, November 10, 2014
Director, Brookshire f Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund I
f
t i
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))
11/04/14 955400 Repair Parts $117.92
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