247849 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 355214
i ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPCQ-WCK AMOUNT: S".../'- '106.94'
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 247849
CHICAGO IL 60693 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 106.94 EQUIPMENT REPAIRS & M
100006017 _._...._ _ _..._ _....->...
CARMEL NAPA Time: 10:35 Invoice Number 992049'
1441 S GUILFORD RD STE 140
El
•g REF BY_ VER BY _ Date: 07/24/2015 'IIIIII�IIIIII�II�II�III�III�III�IIIII�II
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/2
1898 Employee: 36 Tige
CITY OF CARMEL/ GOLF i Y Y
es Sales Rep: 10 Store
1 CIVIC SQ ( Accounting Day: 24 ? OCR
® CARMEL, IN 46032-2584 _...... .._... _._.._.. _ __............. _.._.,
1000060179920498
Part Number. :liirie. Description;:; *` ,Quantity .Price, a` Net' Total' {
=:-
1356 FIL NAPAGOLD OIL FILTER (300) 2.00 13.16; 7.6900(y^ 15.38
7035 IFIL -NAPAGOLD OIL FILTER () € 2.00, 18.66 12.4900; 24.98
1056fFIL NAPAGOLD OIL FILTER () € 2.00I 21.52 14.4900, 28.98
7651203 iBK 'PTEX HI-TEMP RTV 30Z (210) ( 2.00 14.12`'; 7.4900( 14.98
10003 'LUC iLUCAS FUEL TREAT 3202 (200,LUC) ( 1.00i 24.16 12.6900' 12.69
7151151 1BK ,COUPLER (500) 2.001 6.32' 2.1300E 4.26 R
s €
Above Item on Sale
831 (VAL :1 QT HPGEAR OIL 80-90 (500) 4.00 14.22; 5.2900 21.16
^ _ � Delivery: Our Truck NE- 99-22:35
Attention:
Tax Exemption:
€ PO#: russell
Terms:
1
(
s'-
Y.rn
--CONTINUED ' s ;?
.:I1+.;:.k.......;.L:...,....,x.w _;..XSL""`a.>...-. .,$u..:. .::S.:Srt4:..._.........✓., aaa...
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REDIIT:GPC—IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
100006017 -
CARMEL NAPA Time: 10:35 Invoice Number 992049
1441 S GUILFORD RD STE 140
�NAPAI REF BY VER BY Date: 07/24/2015 III�II�I�IIIIIIIIIIIIIIIIII�I�IIIIIII��I
CARMEL, INi46032-2922
° (317) 844-3973 Page: 2/2
r...... ..._
1898 Employee: 36 Tige
® CITY OF CARMEL/BROOKSHIRE GOLFSales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 24 OCR
s CARMEL, IN 46032-2584 ;.•• _........
® I
1000060179920498
Part Number Line' ^Deseripti'on4Quanti,tY Price Net _-T_ otal
a
Above Item on Sale
i
f
Delivery: Our Truck NE- 99-22:35 Subtotal 122.43
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: russell
Terms:
.Total - 122 . 43,
Customer Signature Charge Sale 122.43
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
r
100006017
CARMEL NAPA Time: 11:14 Invoice Number 967219
N APAI AUTO PARn1441 S GUILFORD RD STE 140
® REF BY VER BY Date: 02/04/2015
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
1898 Employee: 33 John
p CITY OF CARMEL/BROOKSHIRE GOLF j Sales Rep: 10 Store ; Y Y
1 CIVIC SQ Accounting Day: 4 OCR
�w CARMEL, IN 46032-2584 (---. -..._ .... ...... .......__. .�.._....-_______...._....._._ .._____._._....... ___._........... :E
1000060179672194
n....
" Descri tion': uantit Price ._: ' .Net ; ';•r Total'"'.
Part NumberLine'.
<:•:
506-186THM THERMOSTAT O -1.00 22.74`• 15.4900 15.49 CR
This item was purchased on invoice # 967207 02/04/2015;
f
i
Delivery: Subtotal 15.49CR
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
g' .Tonal: 15 . 49 CR
Credit Memo 15.49 CR
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))
02/04/15 967219 Repair Parts ($15.49)
07/24/15 I 992049 I Repair Parts I $122.43
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
$106.94
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 967219 43-500.00 ($15.49) 1 hereby certify that the attached invoice(s), or
1207 992049 43-500.00 $122.43 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, July 24, 2015
Director, Brookshire Kk6lub
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund