HomeMy WebLinkAbout300133 07/12/16 �4�n
(>`% f� , CITY OF CARMEL, INDIANA VENDOR: 359984
.� � a.• ONE CIVIC SQUARE IN IANA GOLF CAR
CHECK AMOUNT: $********31.78*
CARMEL, INDIANA 46032 17 0 B EAST 266TH STREET CHECK NUMBER: 300133
s+ ._._.,, ;? AllADIA IN 46030 CHECK DATE: 07/12/16
/TON Gt)
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 8394 31.78 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
INDIANA GOLF CAR ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1770 B EAST 266TH STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
ARCADIA, IN 46030 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$31.78 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT#. INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
8394 43-500.00 $31.78 1 hereby certify that the attached invoice(s),or 6/27/16 8394 Repair Parts $31.78
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge rs ma a were or ere
received except
Wednesday;June 29,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
Indiana Golf Car,Inc. Invoice
1770 B E 266th
Date Invoice#
Arcadia, IN 46030
6/27/2016 8394
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL,IN 46033 CARMEL,IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
RUSSELL Net 30 6/27/2016
Quantity Item Code Descri tion Price Each Amount
1 1013609 SOLENOID, 12 VOLT 31.78 31.78
Total $31.78