329795 09/10/18 �('��A*f` CITY OF CARMEL, INDIANA VENDOR: 359984
j ® ONE CIVIC SQUARE INDIANA GOLF CAR CHECK AMOUNT: $********70.40*
r. ,r� CARMEL, INDIANA 46032 1770 B EAST 266TH STREET CHECK NUMBER: 329795
T9���TON�` ARCADIA IN 46030 CHECK DATE: 09/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 11663 70.40 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 359984 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
INDIANA GOLF CAR IN SUM OF$ CITY OF CARMEL
1770 B EAST 266TH STREET 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.
ARCADIA, IN 46030
Payee
$70.40
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
11663 43-510.00 $70.40 1 hereby certify that the attached invoice(s),or 8/28/18 11663 repair parts $70.40
1110 101 1110 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,August 31, 2018
ac'...' v6. A.,
Jim Barlow
Chief
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 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
8/28/2018 11663
Bill To Ship To
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL,IN 46032 CARMEL,IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
JASON Net 30 8/28/2018
Quantity Item Code Description Price Each Amount
1 102357701 REPLACEMENT KIT,FRONT HUB 70.40 70.40
THANK YOU FOR CHOOSING INDIANA GOLF CAR WE APPRECIATE YOUR BUSINESS!
Total $70.40