191205 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P (���g
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $112.36
2 CHICAGO IL 60693 CHECK NUMBER: 191205
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 771636 -13.77 EQUIPMENT REPAIRS M
1207 4350000 774586 8.19 EQUIPMENT REPAIRS M
1207 4350000 774682 15.95 EQUIPMENT REPAIRS M
1207 4350000 774819 101.99 EQUIPMENT REPAIRS M
a O A K .Q Contro 9594454
w0® CARMEL. NAPA
111 MEDICAL DRIVE Y OCR Y REM I T e G I Ny
REF BY VER BY 595` C 1,.LE.0 'I L'rRl v.i
CARE, 'N 46eW 1000060177746196 BYEj
ALL GOODS RETU ED MUST A ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE I OZZ M° I STORE NO. I EMP SR
85 -0018` 8 CITY OF CARMEL /BROOKSH 10/11 /E(?i(: 7 0601 1 1d 1(:
I CIVIC so 1 o 1 TIME PURCHASE ORDER NO. ATTENTION
C;ARMEL, IN 460322584 PIE- 3 -11:45 4!=
INVOICE TYPE
(09) De. Chaj,13 e Salp
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. c_if_ 7578 BA BATTERY 1 26. 58 91. 9900 if. 9 1.99
1. 0(' 7 8 BA'I Core Deposit 1 0. f:)f_ 1 0 0 f ic_ 10.00 )i i D
TOTAL O MISC. f_ f_) )O
TAX o TOTAL 101.9
AmyTI-\ Conlrol No. 9584207
GAP# CARMEL NAPA
III KEDICAL DRIVE y DC y REMIT:GPC--- -IND,
REF BY VER BY 5959 COLLECT16
MRWi IN W329F CHI "AG "0
RECEIVED
1000060177745869 BY x k4 �17 'I", "I
ALL GOODS RETURNED MUST BE ACCOMPANIED'BY THIS INVOICE
ACCT NO. SOLD TO DATE 0 0 STORE NO. I EMP SIR
85-001898 C11"Y OF CARMEL/BROOKSHI 10/Q'7/2o1Cj 7 106017 1 IIId ic
I civIC 1 130 1 of I TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46o322584 NE-- 314:49
(06) Deliv INVOICE TYPE Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
RTUIGAL NA IGAL RTU ANTIFE. 10.24 8.190c 8.19
1
TOTA Ell. 19 mis*c' o 0 c
7. 0(-.) T T.TAL
IL l 0 0 C TAX 0
1 6FIF i
F
AW=. Control No. Iy
CARMEL NAPA 9584307
III MEDICAL DRIVE y OCR y REM IT: F3PC-- I ND
Jf
REF BY VER BY 5959, CO c r i Ij R.
CARIXEL, IN 460322922 CHICAGO, IL
ECEIV
77746822 BY :�d
X
10000601 R ED
ALL GOODS R66 MUSY BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. EMP SR
85 ii01.898 CITY OF CARMEL/BROOKSFII 1o/08/i?o1( 774682 106017 3 1C
1 CIVIC
'30 1 of 1. TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 4Eo.*322584 1& 3-14:49 t3.-49
(0-7) INVOICE TY Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE,
A.. 0C 501-72OR R*FE CAP SCR V 2.11 1. 4: 5.96
1. OCI SLIME 10011. NtE SLIME TIRE SEAJi 12. 4r-- 9. rj"_Joc 9.99
UB 0. Oc TAIL
15. 9
1 7. 000 0.0C)
T S 15
qTAL IF 'i TAX TOTAL
I fAJ% UG1L. YCrl 1V/ GU/ LU1V .L;s D PM PAUL Z/ooz Fax Server
RE ENEO
By x
10 00 0 6017771 63 6ALL G003S RLTUHNEG OUST 0£ ACCOMpACiIED GY THIS 4wOICE
ACCT. NO. SOLD TO UATE 9 STORE No. EM sa
1898 CITY OF CAV.MEL /BROOKSHI GO F CLVS 09/24/10 1 77163 0008 OB
1 CIVIC SQ TMIE NUHCHgStUHULKNV. AiTENVON
CjUU -9 1 1. TH 46032 -2584
urvutC tt CHGE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1 OD napp7.3�+d Costa 13-7
i72 Unidetata�£ied vo cc cSc189
WO
TOTAL TAX 13
[1) INVOICE# =771 636
[QPADEV004N PCRAWFOR 181149 10/20/2010 15:13:271
F
VOUCHER NO. WARRANT NO.
ALLOWED 20
G ^C -IND
IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
$1 12.36
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO, ACCT #rrITLE AMOUNT Board Members
1207 771636 43- 500.00 ($13.77) 1 hereby certify that the attached invoice(s), or
1207 774586 43- 500.00 $8.19
bill(s) is (are) true and correct and that the
1207 774682 43- 500.00 $15.95
materials or services itemized thereon for
1207 774819 43- 500.00 $101.99
which charge is made were ordered and
received except
Thursday, October 21, 2010
Director, Brookshire 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 771636 Credit ($13.77)
10/07/10 774586 Antifreeze $8.19
10/08/10 774682 Repair Parts $15.95
10/11/10 774819 Battery $101.99
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