304659 10/31/16 J`%'��p\ CITY OF CARMEL, INDIANA VENDOR: 00351074
® ONE CIVIC SQUARE KIMBALL-MIDWEST CHECK AMOUNT: $...►.•«1 19,45'
s. ?, CARMEL, INDIANA 46032
DEPT L-2780 CHECK NUMBER: 304659
9q,��'ON�� COLUMBUS OH 43260•27e0 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 5191803 119.45 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
KIMBALL-MIDWEST ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DEPT L-2780 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
COLUMBUS, OH 43260-2780 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$119.45 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
5191803 43-500.00 $119.45 1 hereby certify that the attached invoice(s),or 10/10/16 5191803 Repair Parts $119.45
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
Thursday, October 13,2016
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
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
iMBALL INVOICE INVOICE NO.
PLEASE PAY FROM THIS INVOICE 5191803
DWT ORIGINAL'MIORDER NO.
5prciatizins in rZlate�iats 1{tanagerxc�t since 1 s�a3 0 0 0 3 8 3 C D
REMIT TO: KIMBALL MIDWEST ACCOUNT NO.
DEPT. L-2780 �•
COLUMBUS,OHIO 43260-2780 (614-219-6100) 260582
www.kimballmidwest.com
SOLD TO: SHIP TO:
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
MAINTENANCE BARN MAINTENANCE BARN
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL IN 46033 CARMEL IN 46033
RUSSELL PICKETT
DATE ISALES REPRESENTATIVE PURCHASE ORDER NO. SHIPPED VIA&DATE
10/10/16 WILLIAMS #3C U UPS GROUND 10/10/16
ORDERED SHIPPED BALANCE DESCRIPTION UNIT PRICE AMOUNT
DUE
10 10 87799 2" MINI CUTOFF DISC 34 .20
5 ?191 N. . 2`L.. 85 .:..:::.... :. ::::.;
25 25 878431 2" MEDIUM KIM-BRITS 48 . 00
[7P1C ISG # 2471703 77 Z:.WGfi..: ......: .. .
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ballmdwes com
You acknowledge and agree that,by placing this order,all information provided to you by Kimball Midwest herein is confidential and is the property of Midwest
Motor Supply Co.,Inc.d/b/a Kimball Midwest.You further agree that this information is for your internal use only and will not be copied,reproduced,distributed
or disclosed by you and/or your organization without the prior written consent from Kimball Midwest.
CARRIERS RECEIPT IN GOOD ORDER CON- ORDERED TAX°/a TAXAMT. SHIPPING INVOICE TOTAL
STITUTES DELIVERY AND CLAIMS FOR LOSS
OR DAMAGE IN TRANSIT MUST BE FILED BY
CUSTOMER.
GOODS RETURNED WITHOUT OUR CONSENT
WILL POSITIVELY NOT BEACCEPTED. 119 . 45 119 . 45
DEBTOR IS LIABLE FOR USUAL AND CUSTOM-
ARY COLLECTION CHARGES.
ALL CHECKS MUST BE MADE PAYABLE ONLY
TO"KIMBALL MIDWEST We Appreciate Your Business PLEASE REMIT THIS AMOUNT