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191161 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00350996 Page 1 of 1 0 ONE CIVIC SQUARE COMMERCIAL PARTS SERVICE, INC CHECK AMOUNT: $52.93 CARMEL, INDIANA 46032 PO BOX 18688 oM INDIANAPOLIS IN 46218 CHECK NUMBER: 191161 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 359794 52.93 EQUIPMENT REPAIRS M PLEASE REMIT TO: 6940 F'LA I NF I E L LPIKWCIAL PARTS SERVICE, INC. INVOICE 6940 PLAINFIELD RD. J=Pff CINCINNATI, OH 452armCINNATI, OHIO 45236 (513) 984 -1900 (800) 837 -4848 Invoice No. Invoice Date CINCINNATI COLUMBUS DAYTON 359794 10/08/10 Equipped to Serve You Better 1 WWW.cpsohlo.com Terms NET 10 DAYS SAME BROOKSHIRE GOLF CLUB 40148 Customer's Address 14140 BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB CARMEL, IN 46033 12120 BROOKSHIRE GOLF CLUB CARMEL, IN 46033 Customer No. Customer P.O. No. Order No. Ord /Sls W/H TD1 SHIP DATE SHIM' VIA FREIGHT 40148 SIO- 3443344 377365 141 01 10/05/10 SHIP PREPAID Qty Order Qty Shipped Qty BYO Part Number Description/Work Performed U/M Unit Price Extended Price 6 6 0 #4R -Z0934 KNOB EA 6.30 BID 37.80 I THANK Y U FOR YPUR OR ER. FLENON -STOCK PARTS CARRY 20% RESTOCKING FEE. NO RETURN ON ELECTRONIC PARTS. CALL US IMMEDIATELY IN CASE OF SHIPPING DAMAGE. SAVE ITEMS AND SHIPPING CARTON. Labor charge is time spent in your place of business, and includes travel Subtotal Miscellaneous Tax rpn ndling Total Due time to bring our technician and mobile service shop to you. Our labor is warranted for thirty days and parts are warranted as per individual 37.80 00 00 52.93 manu facturers supplying parts, in most cases 30 days. n VOU NO. WARRANT NO. ALLOWED 20 Commercial Parts Service, INC. IN SUM OF 6940 Plainfield Road Cincinnati, OH 45236 $52.93 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 359794 43- 500.00 $52.93 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, October 18, 2010 Director, Brook hire 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)) 10/08/10 359794 Knobs $52.93 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