303423 09/26/16 r Cqq
® \ CITY OF CARMEL, INDIANA VENDOR: 359984
; ONE CIVIC SQUARE INDIANA GOLF CAR CHECK AMOUNT: $********44.42*
CARMEL, INDIANA 46032 1770 B EAST 266TH STREET CHECK NUMBER: 303423
ARCADIAIN 46030 CHECK DATE: 09/26/16
t«ONS
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 8818 44.42 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
INDIANA GOLF CAR ALLOWED .20 ACCOUNTS PAYABLE VOUCHER
1770 B EAST 266TH STREET IN SUM OF$ 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.
$44.42 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
8818 43-500.00 $44.42 1 hereby certify that the attached invoice(s),or 91716 8818 Equipment Repairs $44.42
1207 101 1207 101
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 12, 2016
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Indiana Golf Car,Inc. Invoice
1770 B E 266th
Arcadia,IN 46030 Date Invoice#
9/7/2016 8818
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 9/7/2016
Quantity Item Code Description Price Each Amount
1 AM10682 TIRE,UNMOUNTED 44.42 44.42
THANK YOU FOR CHOOSING INDIANA GOLF CAR
Total $44.42