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HomeMy WebLinkAbout305561 11/28/16 CITY OF CARMEL, INDIANA VENDOR: 355214 ...ilii iii (9, ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPdLh�CK AMOUNT: $ 35.77CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 305561 CHICAGO IL 60693 CHECK DATE: 11/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 1898 35.77 EQUIPMENT REPAIRS & M VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) GENUINE PARTS COMPANY-INDIANAPOLIS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 5959 COLLECTIONS CENTER DRIVE IN SUM OF$ CITY OF CARMEL An invoiceor bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60693 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $35.77 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 063478 43-500.00 $35.77 1 hereby certify that the attached invoice(s),or 11/16/16 063478 Repair Parts $35.77 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 Friday, November 18,2016 I 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer CARMELNAPATime: 13:18 Invoice Number 063478 1441 S GUILFORD RD STE 140 I IIIIII VIII VIII VIII VIII VIII IIII IIII M REF BY_ VER BY Date: 11/16/2016 CARMEL, IN 46032-2922(317) 844-3973 Page: 1/1 1898 Employee: 36 Tige ® CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store Y Y 1 CIVIC SQ Accounting Day: 16 OCR CARMEL, IN 46032-2584 1000060170634788 • P3rTi3I(ibY x �IZs12?e «,_.. 1?ESC'2lptl`021 (Qi13T1C1't]r Px10E Net 3TOtl RS1012 TECH SWITCH () 1.00 40.32 25.9900 25.99 7651824 BK DIELECTRIC GREASE (210) 1.00 11.86 6.4900 6.49 784457 NW SLIDE TERMINAL (466) 1.00 5.16 3.2900 3.29 j 6 ;__ ... __ Delivery: Our Truck NE- 99.-01:18_. . ....._ _ .� Subtotal 35.77 Attention: ROCKER Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Terms: _ i Total 35 7 .�...,.........«.....ruww....»...«.««.—.a,:......a.L .�..�.a�...s ...:.s°`fir wv,a..zA.ut'u_.,_., 1 FED! Customer Signature Charge Sale 35.77 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY