323088 03/21/18 �; CITY OF CARMEL, INDIANA VENDOR: 00350801
ONE CIVIC SQUARE AUTOMATIC SUPPLY CHECK AMOUNT: $****""*395.67'
i,: CARMEL, INDIANA 46032 116 SHAWDOWLAWN DRIVE CHECK NUMBER: 323088
9�'�ro'N"�°' FISHERS IN 46038-2431 CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER..'. AMOUNT DESCRIPTION
1207 4238100 8001112IN 395.67 WATER MAINTENANCE SUP
:i
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350801 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
AUTOMATIC SUPPLY IN SUM OF$ CITY OF CARMEL
116 SHAWDOWLAWN DRIVE 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.
FISHERS, IN 46038-2431
Payee
$395.67
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
8001112-IN 42-381.00 $395.67 1 hereby certify that the attached invoice(s),or 3/12/18 8001112-IN Repair Parts $395.67
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
Tuesday, March 20,2018
AX
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice Page: 1
116 Shadowlawn Drive Invoice Number: 8001112-IN
* Fishers, IN 46038-2431 Invoice Date: 3/12/2018
�► t (317)842-3123
AUTOMATIC SUPPLY (800)842-3911
Fax(317)845-0977 Order Number: 8001112
Outdoor Living I Lighting I Irrigation Order Date 3/7/2018
Salesperson: GOLF
PLEASE REMIT TO OUR FISHERS ADDRESS Customer Number: 09-0002055
Sold To: Ship To:
BROOKSHIREICITY OF CARMEL BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PARKWAY
CARMEL,IN 46032 CARMEL,IN 46032
Confirm To:
BOB HIGGINS
Customer P.O. Ship VIA F.O.B. Terms
- — -BOB` - SALESPERSON -- ` 30`DAYS NET
-- - -- -
Ord Ship BO Item Number Price Amount
2 2 0 SFSOV6SS FOOT VAL SCREEN 6"SS 114.6229 229.25
1 1 -0 SFSOV4SS FOOT VAL SCREEN 4"SS 66.2132 66.21
1 1 0 SFVFG4 FOOT VAL GASKET ONLY 4" 17.7035 17.70
2 2 0 SFVFG6 FOOT VAL GASKET ONLY 6" 35.6571 71.31
Net Invoice: 384.47
THANK YOU FOR DOING BUSINESS WITH AUTOMATIC M! Less Discount: 0.00
Freight: 11.20
Sales Tax: 0.00
You May Deduct $0.00 If Paid by 3/12/2018 Invoice Total: 395.67