181210 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
d.,' t i ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAP 9ECK AMOUNT: $57.13
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 181210
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 85- 001898 57.13 EQUIPMENT REPAIRS M
Control No. 8 8 h q p� 4 6
l�lWife 1,
CARMEL- NAPA
111 MEDICAL DRIVE .Y OCR Y REM I T: GPC I Nr.)
REF BY VER BY 5959 COLL T I O 11 R. R,4
CARMEL, IN 46032292L C ucle X o 1... a G s.. A
lesseesi7744� 39 ALL GOODSRET. NED MU j C A 4 1.(-11. 4 ,1, IEDDT HIS INVOICE
I -hL.
1 p B 111 UI��l.111f0111111 111 ���bOLD TO DATE J IN. uoiCE NO. STORE NO. EMP SR
85401898 CITY OF CARMEL /BROOKSHI 0 /?r /21009 EMMIII.M. 1c
12120 BROOKSH I RE PARKWAY 1 n f 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL_, IN 4603333 :14 3-09:37 7 C 7
INVOICE TYPE
'.al T)r I1 vs-Z r f`.ha.sri P; P
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. 1 056 f F it.. ibliN OLD OIL FIL 20. 29 11. 1 507 11. 15
1.00 3032 FIL_ liciffeCED FUEL FI 7. 43 4. 4900 4. 49
SUB 11
TOTAL Y 1 5. 6.4 MISC. 0 7 D° TAX 0 O. 00 TOTAL O. 1.5. 64
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8821347
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/0 CARMEL~NAPA
11I EDDR DRIVE Y OCR Y REM TT GP IND
REF BY__ NER 8 Y__ 5959 COL ECTION ,I0T
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��yyy1����/ ������t�% ^u GOODS n�unmsoMUST oc^000M=w/soo,r*s/wvooc
1 TO DATE |mVole Mr STORE NO. EMP SR
85-001898 CITY OF CARMEL/BROO SHI 1 1/n2/2 (9 0 )co 7 10
1212O BROOKSHIRE' PARKWAY 1 of 1 TIME puno�osORDER wu ATTENTION
CARMEL, IN 460333314 -3-1h29 1(1:: :20 INVOICE TYPE
Dcl��;cr Ctargc S�
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL COoE
i.00 1356 FIL NCIPRGDLD OIL FlL 12.98 7.6900 7. 69
20.00 710-1149 BK TIRE REP PATCH l 1. 74 1. 6900 33. 80
am h 41.49mmo0 7.000 L 0.00 TOTAL h 41
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC -IND
IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
$57.13
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
85- 00 4
Pot,/ Dept. INVOICE NO. ACCT/1/TITLE AMOUNT Board Members
1207 744563 43 $15.64 I hereby certify that the attached invoice(s), or
1207 744840 43 $41.49 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
Wednesday, January 06, 2010
2 0-0P C.
Director, Brooks Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 199:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/29/09 744563 Oil Filter $15.6
11/02/09 744840 Oil Filter $41A
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
Clerk- Treasurer