330477 09/26/18 ti�pr C�gMf
CITY OF CARMEL, INDIANA VENDOR: 359984
ONE CIVIC SQUARE INDIANA GOLF CAR CHECK AMOUNT: $*******370.02*
r �_�, CARMEL, INDIANA 46032 1770 B EAST 266TH STREET CHECK NUMBER: 330477
(.9�?rori 6� ARCADIA IN 46030 CHECK DATE: 09/26/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 11716 370.02 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20
Vendor# 359984 ACCOUNTS PAYABLE VOUCHER
INDIANA GOLF CAR IN SUM OF$ 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
$370.02
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
11716 43-500.00 $370.02 1 hereby certify that the attached invoice(s),or 9/7/18 11716 Repair Parts $370.02
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,September 25,2018
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
Indiana Golf Car,Inc. Invoice
1770 B E 266th Date Invoice#
Arcadia, IN 46030
9/7/2018 11716
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 9/7/2018
Quantity Item Code Description Price Each Amount
1 101834001 DRIVEN CLUTCH ASM-FE290D 192.90 192.90
1 105064123 Boxed Seat Back,Gray 177.12 177.12
Total $370.02