249259 09/09/15 r Coq -
"° CITY OF CARMEL, INDIANA VENDOR: 355214
j, b it ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANApaWCK AMOUNT: $......"361.58'
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 249259
�•yR oN,�o;? CHICAGO IL 60693 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 361.58 EQUIPMENT REPAIRS & M
100006017
CARMEL NAPA Time: 09:56 Invoice Number 997792•
1441 S GUILFORD RD STE 140 )
WAPAI REF BY VER BY Date: 08/31/2015 Ill'�IIIIIIIIIIIIII�IIII�IIIIIIIIIIIIII�I
CARMEL, IN 46032-2922
° (317) 844-3973P age: 1/1
1898 !__ Employee: 63 JOHN $
CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store y y
1 CIVIC SQ ) OCR
Accounting Day: 31 ;
® CARMEL, IN 46032-2584 ,..-_--
® 1000060179977926
ft r 1
Part'Number "i' FLine==• �,� ,Descripti ori•; Quantity+ " Price
...,'^.`a.:<m._..:..:;....,...;'3�_.-.,,.4 •' ..m�.-.: t. F. -:%.,:.•:::;x�.�, -.. .m....._.,.,w.�.:z,..F...�::.u..,.a...m.. f....,»_.,... v.._assa.:..�..,...__,. ... .a........, .. ..�,2�c..c-.:-.-?,. <.... ..._a..,.•1:•wic�. =,.,.
1249 #FIL NAPA HYDRAULIC FILTER O € 2.00 35.'86; 24.9900; 49.98
3472 =FIL zNAPAGOLD FUEL FILTER () 4.00; 29.52; 21.4900E 85.96
7035 FIL 'NAPAGOLD OIL FILTER O i 4.M 18.66E 12.49001 49.96
1356 -FIL NAPAGOLD OIL FILTER (300) € 4.001 13.161 7.6900; 30.76
1551 IFIL `NAPA HYDRAULIC FILTER O 1.00? 17.14 11.69001 11.69
1307 �FIL NAPAGOLD OIL FILTER O ' 3.001 13.46 7.9900: 23.97
70124 sVAL .CRIMSON 2 GRS CARTR (500) 10.00 8.521 4.6900; 46.90
_ _.. _,. _. __...__._. _ ._.........._................
_..__. .. ._..._ ..__. ._
Delivery: Subtotal 299.22
E Attention: Indiana Sales Tax 7.0000% 0.00
I
Tax Exemption:
PO#: SHOP
Terms:
"29>9�::.22
Customer Signature Charge Sale 299.22
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMTT:GPC—IND
5559 COI,LECTION CTR.DR.
CHTCAGO ILL. 60693
CUSTOMER COPY
100006017
CARMEL NAPA Time: 14:20 Invoice Number 998053£
1441 S GUILFORD RD STE 140 I IIIIIi VIII VIII VIII IIIiI Illil Illi llil°
E
PAI AMR REF BY VER BY Date: 09/01/2015
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1 i
1898 F-- --",---Employee:- 6 mm Jason
® CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store ! Y Y ;
1 CIVIC SQ Accounting Day: 1 ( OCR
m CARMEL, IN 46032-2584 1000060179980538
® I
Part-;;Number•. lii-ne; e.: Descri boil`'''"'` = uantit 'Netu, ;" `Total' ,zy '<.'"
701-1837 BK :GAUGE () ! 1.00t 39.56; 27.6900; 27.69
7151538 BK SUPER DUTY GREASE COU (500) j 1.001 9.28! 6.6900; 6.69
5125. NCB `NAPA CLNR PUMICE (220) [ 2.001 26.44 13.9900; 27.98
I
j Delivery: I Subtotal 62.36
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
! PO#: i
� 3
Terms:
_._. W ;u Tota-1,;`
Customer Signature Charge Sale 62.36
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))
08/31/15 997792 Repair Parts $299.22
09/01/15 998053 Repair Parts $62.36
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
$361.58
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 997792 43-500.00 $299.22 1 hereby certify that the attached invoice(s), or
1207 998053 43-500.00 $62.36 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
Thursday, September 03, 2015
Director, Brookshire olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund