246311 06/17/15 ��' ;� CITY OF CARMEL, INDIANA VENDOR: 355214
d "l ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANApaWCK AMOUNT: $......**44.99*
;., ,a CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 246311
+,, o, CHICAGO IL 60693 CHECK DATE: 06/17/15
.�rON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 0851898 44.99 EQUIPMENT REPAIRS & M
100006017
E,IF'LNA
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CARMEL NAPA Time: 10:06 Invoice Number 983190
1441 S GUILFORD RD STE 140
REF BY VER BY Date: 05/28/2015
MWOM CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
1898 Employee: 33 John
CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 28 OCR
� CARMEL, IN 46032-2584
»
1000060179831904
Part-Number ,;;Line `Description ;Quantity' '- Price Net Total
85-905 NHF PREM AW 32 HYD FL 5G (016) 1.00= 81.881 44.9900, 44.99
[ � I
3
_Delivery: Subtotal 44.99
Attention:' Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
:•Total 44 -9,
Charge Sale 44.99
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))
05/28/15 983190 Fluid $44.99
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
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$44.99
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 983190 I 43-500.00 I $44.99 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
Tuesday, June 09, 2015
Director, Brookshire If Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund