188596 08/04/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- 1NDIANAP WaCK AMOUNT: $28.57
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 188596
CHECK DATE: 814/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 0851898 28.57 766770
Control No.
7 3
V AN .5 7 7'1 6
0® CARMEL NAPA
III MEDICAL DRIVE Y OCR Y REM 11'. GPC I ND
REF BY VER 5959 C I
CARMEL, IN 460m9 qHjqAG
1000060177667701 BY x 0 5, t 4 L x 6
HIS INVOICE
ACCT NO. SOLD TO DATE Y00 STORE NO. EMP SR
85-001898 CITY OF' CARMEL/BROOKSHI 0*7/14/201d 766-770 106017 1. 1
I civic so 1 of I TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 460322584
INV210ETYPE
r h A ir m c3 A I p
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2. (X: 1394 F` I L WAGOLD OIL FIL 12.42 7. 290C 14.58 T
1.0C 5025 NCB WA HAND CLEW 17.49 13. 990( 13.99 T
7.(- 00 TOTAL 30.5
TOTAL TAX
SUB 28. 5 1 MI !M F I I
VOUCHER NO. WARRANT NO.
GPC -I ND ALLOWED 20
IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
$2$.57
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 766770 43- 500.00 $28.57 I 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
Friday, July 30, 2010
�//.�•�'t7 (:111
Director, Broo ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
5
Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 1995)
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))
07/14/10 766770 Oil and Hand Cleaner $28.57
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