HomeMy WebLinkAbout250298 10/07/15f
s CAA.
CITY OF CARMEL, INDIANA VENDOR: 369936
® `il ONE CIVIC SQUARE JACOBSEN CHECK AMOUNT: $"""""'*585.34'
�, ?4 CARMEL, INDIANA 46032 PO BOX 101282 CHECK NUMBER: 250298
PASADENA CA 91189-1282 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 90034006 585.34 EQUIPMENT REPAIRS & M
Phone: (800) 848-1636
Fax: (704) 504-4959 I11VOIC@ 1 of 1
Email: JacobsenAR@textron.com
a/' S®ns�� CONTAINER NUMBER
A Textron Company 2
BOOKING NUMBER
REMIT TO: PO Box 101282
PASADENA CA 91189-1282
SEAL NUMBER
2
SOLD TO:Attn: Accounts Payable SHIP TO: BROOKSHIRE GOLF CLUB FREIGHT FORWARDER
CITY OF CARMEL-BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PARKWAY 1
12120 BROOKSHIRE PARKWAY CARMEL IN 46033
CARMEL IN 46033
TERMS WAYBILL NUMBER SHIP VIA INVOICE DATE INVOICE NO.
30 NET 0 FedEx Ground 23-SEP-15 90034006
PAYMENT DUE DATE DATE SHIPPED SHIP APPR#/LOC# CUSTOMER NO.
23-OCT-15 23-SEP-15 JR411426-000
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1 2. 2 ARM AY, CRANK 4116643.7 RUSSELL 4023653 232.94 465.88
Replaced Part: 890211
2 5 5 KEY.313 X.313 X.845 837419 RUSSELL 4023653 5.98 29.90
Replaced Part: (KC)
3 6 6 BOOT 521050 RUSSELL 4023653 13.19 79.14
Tax 0.00
Freight/Handling 10.42
FULL PAYMENT OF THE INVOICE AMOUNT IS DUE ON THE PAYMENT DUE DATE SHOWN ABOVE.THEREAFTER,A DEFAULT CHARGE WILL BE IMPOSED WHICH SHALL BALANCE DUE
BE THE LESSER OF(A)18%PER ANNUM OR(B)THE HIGHEST DEFAULT CHARGE ALLOWED BY LAW.
DISCOUNTS APPLICABLE TO PRODUCT LINES ONLY AND MAY NOT BE TAKEN ON FREIGHT OR TAXES. CURRENCY: USD 585.34
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))
09/23/15 90034006 Repair Parts $585.34
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
Jacobsen
IN SUM OF $
PO Box 101282
Pasadena, CA 91189-1282
$585.34
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 I 90034006 I 43-500.00 I $585.34 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
Monday, September 28, 2015
Director, Brookshire olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund