HomeMy WebLinkAbout249740 09/23/15 ,[AA
CITY OF CARMEL, INDIANA VENDOR: 359984
a.
® it ONE CIVIC SQUARE INDIANA GOLF CAR CHECK AMOUNT: $**.....631.77*
4'
CARMEL, INDIANA 46032 1770 B EAST 266TH STREET CHECK NUMBER: 249740
ARCADIA IN asoso CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 6914 631.77 EQUIPMENT REPAIRS & M
Indiana Golf Car, Inc. Invoice
1770 B E 266th
Arcadia, IN 46030 Date Invo ce#
6/22/2015 691114
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSI-IIRE PKWY, 12120 BROOKSHIRE PKWY,
CARMEL,IN 46033 CARMEL,IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
RUSSELL Net 30 6/22/2015
Quantity Item Code Description Price Each Amou1 t
f
1 103982301 CONTROLLER,250A,HB,WHT 525.00 525.00
1 101856001 SWITCH,ROCKER-DOUBLE POLE 14.87 14.87
1 1014947 RESISTOR ASSEMBLY 5.58 5.58
1 103750001 STRUT,CANOPY FRONT RI-I-PREC 43.16 43.16
1 103750101 STRUT,CANOPY FRONT LH-PREC 43.16 43.16
I
I
T®ta l 631.77
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))
06/22/15 6914 Repair Parts $631.77
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
Indiana Golf Car, Inc.
IN SUM OF $
1770 B E 266th
Arcadia, IN 46030
$631.77
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 6914 I 43-500.00 I $631.77 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, September 18, 2015
�t C
Director, Brook re Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund