246605 06/18/15 ,Coq .
CITY OF CARMEL, INDIANA VENDOR: 355214
® ='r ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPdLWCK AMOUNT: $......**33.99*
:. ? CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 246605
, ,TON CHICAGO IL 60693 CHECK DATE: 06/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 33.99 EQUIPMENT REPAIRS & M
100006017
CARMEL NAPA Time: 09:20 Invoice Number 985346
1441 S GUILFORD RD STE 140 I IIIII�Illi)VIII VIII VIII ilili IIII IIlI
FNAPAI as REF BY VER BY Date: 06/11/2015
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: 11 OCR
® CARMEL, IN 46032-2584
1000060179853462
Part Number ;Line. Description sQuantity Price Net Total
ACP100 :NCB 1802 AC PRO PREMIUM (353) 1.00! 86.90, 33.9900 33.99
Above Item on Sale
. 4
i
Delivery: Subtotal 33.99
i Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
. :Total 33'. 9
.
Charge Sale 33.99
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
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))
06/11/15 985346 Repair Parts $33.99
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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$33.99
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
T
1207 I 985346 I 43-500.00 I $33.99 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, June 12, 2015
I
Director, Brookshir If Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund