249696 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPCQ-WCK AMOUNT: S+++++++"19 84+
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 249696
CHICAGO IL 60693 CHECK DATE: 09/23/15
<<(IN
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 19.84 EQUIPMENT REPAIRS & M
� I
' 100006017 _._. _..
CARMEL NAPA Time: 09:12 Invoice Number 998431
1441 S GUILFORD RD STE 140
El
AUIU
REF BY_ VER BY Date: 09/04/2015 =II��IIIIIII�I�IIIIIIII�III�III�III�II�II
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
1898 Employee: 33 Kohlstaedt
® CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store i Y Y
1 CIVIC SQ Accounting Day: 4 OCR
m CARMEL, IN 46032-2584 __. ..., ._ .. _. ............... _. ._"-_ _ ., 3
1000060179984311
Part :vLine' Desch t.ian
. r` :, p , :;..> ;.Quantity `•Pxice -Net Total
71 CHA CHAMP COPPER SPARK PL O € 4.001 3.381 1.9900, 7.96 s
7734 NGK 'SPARK PLUG () 4.00e 4.20 2.4900 9.96
7938 ;NGK 'SPARK PLUG O 8.00; 4.20 2.4900 19.92
4
Delivery: Subtotal 37.84
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Total 37. 84`
Customer Signature Charge Sale 37.84
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR. >
CHICAGO ILL. 60693
CUSTOMER COPY
100006017 - ........ - ......... ...-- ......._....
CARMEL NAPA Time: 11:44 Invoice Number 994743:
*APA1
1441 S GUILFORD RD STE 140 II
CARMEL, INF
V46032-2922 Date: 08/11/2015 II�IIIOIflllllllllllllll�IIIIIfIIIIIIIII.
(317)' 844-3973 Page: 1/1
..........................................................................
. ...................................................................................................... .............................
1898 Employee: 4 Chris
CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store Y Y
1 CIVIC SQAccounting Day: 11 OCR
CARMEL, IN 46032-2584 ..............._........ ... ..... ......... ....... - - ......._...............
1000060179947433
«:: is a-2:;« ..... ....;;:;- ---
................... ......................... ..... ............ ,......---- :::::::.:_::::::.... ......::::::::
----------------------------------
N997525RED .BAT :Core Deposit (BAT,170) a -1.00: 18.00: 18 0000; 18.00CR;D
This item was purchased on invoice: n 994685: 08/11/2015:
---------------------------------------------------------------------
..............----------------...------------------------------------------------------------------.....................------
Anticipated Time: Subtotal 18.000R
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
Po':
Terms:
--------- ...................................................... ................. .............;: i
Customer Signature Credit Memo 18.00 CR
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
P.EAfIT:GPC-INC
5959 COLLECTION "TR.DR.
CHICAGO ILL. 60693
STORE 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 994743 Credit ($18.00)
09/04/15 998431 Repair Parts $37.84
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
$19.84
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE L
AMOUNT Board Members
1207 I 994743 I 43-500.00 I ($18.00) 1 hereby certify that the attached invoice(s), or
1207 I 998431 I 43-500.00 I $37.84 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
Monday, September 14, 2015
Director, Brookshire WClub
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund