190767 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY—INDIANA P
l's CK AMOUNT: $89.93
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 190767
CHECK DATE: 10113/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 0851898 54.98 773428
1207 4350000 0851898 34.95 773735
Control No.
I 7 7^511 0
ONA 10
CARMEL NAPA
III KEDICAL DRIVE y OCR y REM I f GPc D
5 EyIO D R
CARREL, IN 4
REF BY VER BY 5 9 t3j� 1�
It
ME V)
BY
1000060177737351
ALL GOO ETURNED E ACCOMPANIED BY THIS IN VOICE
ACCT NO. SOLD TO DATE 00 STORE NO. EMP SR,
a5- 001.898 85-1.898 C'I OF CA 09/28/20101 773 b6017 1 1. S I C
1 civic so 1 of 1. TIME I PURCHASE ORDE ATTENTION
CARMEL, IN 460322584 I :.:I:N:V:0:=10ETYPE C h arnp —Alp
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. c" 50 NCB tWA M UM 17.49 13.9900 .1.3.99
20.00 7101149 BK TIRE REP PATCH 1 1. 74 0.7100 14.20
Above Item on Safe
4. OC 728036 NW BATTERY CABLE LL 2. G-1 1. 6900 6.76
SUB 34.
TOTAL 01 34. rants 7. ()('-')o 01 0.00 TOTAL
I TAX
Control No.
aapaD 7764780
CARMEL NAPA
III OICAL DRIVE y OCR y REMIT:GPC--- IND
U BY VER BY 5959 COLLECTION C TR. DR.
CAM M
IN 469E CHICAGO ILL e,0
eq:3 j
RECEIVED
1000060177734283 BY x 6 PU
ALL GOODS RETORNED MUS"IBE ACCOMPANIED BY TH)6 INVdCE
ACCT NO. SOLD TO DATE MN@M M I I STORE N EMP SR
85--001898 CITY OF CARMEL/BROOKSHI (D9/24/20101 773 )6017 I IC
I civic so I f 1 TIME PURCHASE ORDER NO ATTENTION
CARMEL., IN 460322584 8 0 2
(21) INVOICE T YPE Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2. Ocl VCJT31/4 BRG BEARING 42.89 !27.490( 54.98
UB t)4. '31
T S misc. TOTAL
?TAL x
VOUCH NO. WARRANT NO.
L ALLOWED 20
GPC IND
IN SUM OF
5959 Collection Ctr. Drive
I
Chicago, IL 60693
$89.93
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 773428 43- 500.00 $54.98 1 hereby certify that the attached invoice(s), or
1207 773735 43 500.00 $34.95 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
Thursday, October 07, 2030
Zty
Director, Broo ire 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))
09/24/10 773428 Repair Parts $54.98
09/28/10 773735 Repair Parts $34.95
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