189336 08/31/2010 a CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAPp��g
CK AMOUNT: $57.29
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE �F1E
CHICAGO IL 60693
CHECK NUMBER: 189336
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 85- 001898 57.29 EQUIPMENT REPAIRS M
0 Control No.
RAW CARM<".L NAPA 1 7 7 6 1 J 6 1 101
ll1 NEDICAL DRIVE. Y OCR Y REMIT. GF!.C:- -IND
REF BY VER BY J'�v` C''
CARNE, IN 450 2 C�-I I CAG
.1000060177706330 RECEIVED
BY X'
ALL GOODS RRNED T Elf ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO 'DATE STORE NO. I ENIP SR
85-- 00 1898 CITY OF' CARMEL /BROOKSHI Ot/24/20IC- 770633 106017 1 1(
i CIVIC SG! c I i' O f 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 4603225- 6A NE -3 -09:39 080 ;4
INVOICE TYPE
(20) ne_Iiuer Charge Sale
QUANTITY PART NUMBER LINE cDESCRIPTION PRICE NET TOTAL CODE
1. C ?C NH-1264 >-WT S'KT3 4DR12PT2 Me 6 A 57. 2909 57. 2'
SUB 5 1. 2 MIS>r. (-1' 09 ...1 Q0 I (1. 00 1'�
T TAL TAX TOTAL
1
V OUCHE R NO. WARRANT NO.
ALLOWED 20
GPGIND
I IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
$57.29
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 770633 43- 500.00 $57.29 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, August 26, 2010
Director, Brooksh r 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. 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))
08/24/10 770633 Repair Parts $57.29
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
2Q
Clerk- Treasurer