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250393 1 0/07/1 5 CITY OF CARMEL, INDIANA VENDOR: 362834 ® `'r ONE CIVIC SQUARE R & R PRODUCTS INC CHECK AMOUNT: $""""`*496.71' :. � CARMEL, INDIANA 46032 3334 E MILBER ST CHECK NUMBER: 250393 TUCSON AZ 85714 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 CD1953335 496.71 EQUIPMENT REPAIRS & M R&R PRODUCTS, INC. InVO1Ce Invoice Number Invoice Date Total Invoice Amount ROQ 3334 East Milber Street CD1953335 9/24/15 $496.71 Tucson,AZ 85714 ORIGINAL ProPH (520)889 3593 Order Number Due Date Customer Number FAX(520)294 1045 Page 1 of 1 R1075891 10/24/15 46032B Purchase Order Number Order Received Terms of Payment Terms of Delivery Ship Via RUSSEL 9/24/15 30 Days Net DELIVERED FED EX 2 DAY Invoice Address Delivery Address BROOKSHIRE GOLF CLUB R BROOKSHIRE GOLF CLUB R ATTN: GOLF COURSE MAINTENANCE ATTN: GOLF COURSE MAINTENANCE 12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY CARMEL, IN 46033-3314 CARMEL, IN 46033-3314 Line Part Number Description Quantity Unit Unit Price Discount Price Total 1 R201402 Alloy Solid Tine - .750MT x 4.750L x .500OD 24.00 EA 4.40 0% 105.60 2 R93-3007 Seal 6.00 EA 2.35 0% 14.10 3 R343667 Bearing - Ball 6.00 EA 6.20 0% 37.20 4 R93-1251 Seal 6.00 EA 4.95 0% 29.70 5 R93-1252 Seal - Outer 6.00 EA 9.75 0% 58.50 6 R253-70 Seal 6.00 EA 3.40 0% 20.40 7 R93-2931 Washer- Roller Seal 6.00 EA 1.65 0% 9.90 8 R32120-62 Ring - Retaining 6.00 EA 1.30 0% 7.80 9 R1851 Fitting - Grease- Flush 8.00 EA 4.15 0% 33.20 10 R107-1984 Shaft- Roller 3.00 EA 49.95 0% 149.85 Sub Total, before charges 466.25 FREIGHT Freight Charges 1.00 EA 30.46 30.46 Sub Total, before tax 496.71 You can also pay your invoice using your credit card. Total Tax 0.00 We accept Visa, Mastercard, American Express and Discover. Total Invoice Amount 496.71 For details, please call Customer Service at 800-528-3446 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)) 09/24/15 I CD1953335 I Repair Parts I $496.71 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 R & R Products, Inc. IN SUM OF $ 3334 E. Milber Street Tucson, AZ 85714 $496.71 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I CD1953335 I 43-500.00 $496.71 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 Thursday, October 01, 2015 f Director, Brookshire - If Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund