248827 08/26/15 > CITY OF CARMEL, INDIANA VENDOR: 355214
d 'il ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPQLhI£CK AMOUNT: $"'"""212.00'
_. CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 248827
CHICAGO IL 60693 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 212.00 994685
100006017 ....-------------------------------------------------------...-
CARMEL NAPA Time: 08:55 Invoice Number 994685:
#APAIM-Mms 1441 S GUILFORD RD STE 140 II�IIIII'IIIIIII�II�I�IIIIIIIIIIIIIIIIII:
� REF BY_ VER BY Date: 08/11/2015
0
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
-------------------------.................................__......................---......------..............---------- ------------
.........-----..........
............................................
.
1898 Employee: 3 , DAVE
CITY OF CARMEL/BROOKSHIRE GOLF $a12s Rep: 10 Store Y Y
1. civic SQ Accounting Day: 11 OCR
CARMEL, IN 46032-2584 -----------------------
1000060179946853
.::......:>::;:.;:.;.:...
....... ...::.:::::-----... .. .. :.::
ur ':.....Y i�:::.:.........::. I3esw�: ..sirs...... :::<.>:::::;::;:.>:.:.. a .
N997525RED :BAT =BATTERY (BAT,170) a1.00-? 253.34: 194.0000: 194.00
N997525RED BAT :Core Deposit (BAT,170) 1.00: 18.00: 18.0000: 18.00 D
I
.............................. ........................................................................................................................
Delivery: Our Truck NE- 3-09:55 Subtotal 212.00
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
POn:
Terms:
Customer Signature ::::.Charge Sale..::..:::::212.00::::ALL GOODS RETURNED MUST BE ACCOMPANIED BYTHIS INVOICE
P.EMIT:GPC-IIID
5959 COLLECTION CTR.DP..
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))
08/11/15 994685 Repair Parts $212.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$212.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 994685 I 43-500.00 I $212.00 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
Friday, August 21, 2015
Director, Brookshire Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund