186317 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAPN
0 t;' CHECK AMOUNT: $57.46
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
•��Fdii.Oo� CHICAGO IL 60693 CHECK NUMBER: 186317
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 85- 001898 57.46 EQUIPMENT REPAIRS M
-s
0 Control No.
aG9 K a 375734
0® CARMEL NAPA
III FEDICIR. DRIVE OCR Y REM I T e GRC— I ND
REF BY VER BY ,rli 5959 COLLECTION CT F.. DR. AI SIIVOICE
MM IN 460322922 CF4ICAGO L �J06 REC
1 0 j! t 0001.!� 0 S 2 ALL E GOO S RETURNED MUST BE ACCOMPANIE BY
ACCT. NO. SOLD TO DATE ORE NO. EMP SR
85-001898 CITY OF* CNRME.L /BPOOKSHI 0" /2-4 /2 61 Oi17 1 18 10
1 CIVIC so 1 o f 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL_, IN 460322584 KE- 3 -11:51 10:5
:20) P_ 11Vei I NVOICE E Ch,
QUANTITY e Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
8. 00 7 —o49i �4 SME WrJ E PHDL- 5. 59 4.2900 8.58 1
2. 00 1209 BK 6 V HD BATTERY 5.45 4. 490o 8. 78
10. 70 1 c4 VAT__ CRINMN 2 6RS CA M 99 3.990o 39. 90 1"
SUB
t
TOTAL 57. 46 IS�'� 0. 00 j 00 TAX 4. 02 TOTAL 61.48
VOUCHER N WARRANT NO.
A ALLOWED 20
OPC -IND
IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
$57.46
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1207 761920 43- 500.00 $57.46 1 hereby certify that the attached invoice(s), or
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
Monday, June 07, 2010
Director, Brooks re 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. 19S
h
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))
05/24/10 761920 Repair Equipment $57.
1 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