248390 08/1 2/1 5 1 1 CAA f
�'�• CITY OF CARMEL, INDIANA VENDOR: 359984
ONE CIVIC SQUARE INDIANA GOLF CAR
® CHECK AMOUNT: $*******150.00*
,� CARMEL, INDIANA 46032 1770 B EAST 266TH STREET CHECK NUMBER: 248390
M�$oN"�°' ARCADIA IN 46030 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 7159 150.00 EQUIPMENT REPAIRS & M
Indiana Golf Car,Inc. Invoice
1770 B E 266th
Date Invoice#
Arcadia,IN 46030
7/30/2015 7159
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL,IN 46033 CARMEL,IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
RUSSELL Net 30 7/30/2015
Quantity Item Code Description Price Each Amount
1 MISC PARTS USED BAG HOOP ASSY 5.00 5.00
1 103601501 ASM,STEERING RACK AND PINION 145.00 145.00
Total $150.00
VOUCHER NO. WARRANT NO.
Indiana Golf Car, Inc. ALLOWED 20
IN SUM OF$
1770 B E 266th
Arcadia, IN 46030
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
1207 ( 7159 I 43-500.00 I $150.00 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, August 04, 2015
Director, Brookshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
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))
07/30/15 7159 Repair Parts $150.00
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