251546 11/18/15 - CITY OF CARMEL, INDIANA VENDOR: 355214
® I ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPaWCK AMOUNT: $......**28 28*
:., CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 251546
'*c�sa CHICAGO IL 60693 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 28.28 EQUIPMENT REPAIRS & M
100006017 ----------------------------------------------------------------------
CARMEL NAPA Time: 09:03 Invoice Number 008218
s 1441 S GUILFORD RD STE 140
NAPM REF BY VER BY Date: 11/12/2015 II"III 'IIIIIIIIIIIIIIIIIIII�IIIIIIIIII
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
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1898 Employee: 36 Tige
CITY OF CARMEL/BROOKSHIRE GOLF $a12s Rep: 10 Store Y Y
1 CIVIC SQAccounting Day: 12 OCR
CARMEL, IN 46032-2584 ------:^-------.,--. -::---...------
1000060170082188
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DAL1607 :DC FT BLAC (522) 1.00 10.76: 6.2900: 6.29
7651280 BK :REPAIR KIT (530) 1.00: 38.82: 21.9900: 21.99
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Delivery: Our Truck NE- 99-21:03 Subtotal 28.28
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
POn.
Terms:
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_... _......................:::::. ::.Sale::::._.::::28.28:::::...
Customer Signature Charge
. .... - -ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
P,E14IT:GPC-IIID
5959 COLLECTION CTP..DP..
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))
11/12/15 008218 Repair Parts $28.28
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
$28.28
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 008218 I 43-500.00 I $28.28 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
11
Monday, November 16, 2015
'Al 4,-
Director, Brookshi�V'Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund