191650 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA P
g 0 j CFIE
CK AMOUNT: $65.32
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 191650
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 0851898 -10.00 775008
1207 4350000 0851898 50.12 776044
1207 4350000 0851898 25.20 776569
Control No. 9585781
i NAPAO' CARMEL. NAPA
lit oick DRIVE y OCR y REMI*T:GPC IND
Rg BY I VER BY 5 COkLECTIO��
R EC EI CARNE; IN 4603M X f�- L 1000060177760440 y R
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE Kmm= STORE NO. EMP SR
85--001898 CITY OF CARMEL/BROOKSHI 10/25/2011 77G"')44 3 IC
1 civic SO I of TIME PURCHASE ORDER NO. L!a
ATTENTION
J
CARMEL, IN 460322 HE-3 -15:37 14.37 ',_t S Se
(21) De 1 i v e INVOICE TY PE Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL cnnF
2000 Chevrolet Truck Silveradn 2500 3/4 fon 4wu
1 0C 1 X 22 2 f L Oil Filter (Sold 13. 2C 7.490C 7.49
3.00 7035 FT L NPRO OIL FIL 19.9 10.880c 32. 6,4
1. 00 SLIME 10011 NC E SLIKE TIRE 12. 4:- S. 990C 9. 99
50. 12
0. 0. 0 000 0 0 0 TOTAL
T SUB 5 ?TAL 01 TAX 01 1 01
ITF7 Control No. 9584657.
1100 CARMEL NAPA
III KEDICAL DRIVE y OCR Y REMI"r:GPC-- IND
REF BY VER BY 5959 COLLECTION CTR.DR.
mma� IN 46032292-2 100006017 7750 086 B CHICAGO ILL. 60693
RECEIVED
Y x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO, DATE Jzz= STORE NO. EMP SR
85-001898 CITY OF CARMEL/BROOKSHI 10/12/2(- 775C)OS 106017 L7;f�
1. Cjk)TC 1 30 1 of I TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 460322584 14:
(10) INVOICE PE Credit Memo
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
–1. 0C '7578 BAT Core Deposit 1 0C I o. 000(- 10.00 CF D
This item kla- p-,wchased an invoice 774819 10/11/2'010
SUB 10. 0 0. O'Cl 7. 0 0 0 0.00 TOTAL 1 0. T) CTC R7
TOTAL TAX
IFF-4 i
ontrol No. 9566339
ON CARMEI.. NAPA
111 rEDICAL DRIVE Y UCR Y REM I: T e GPC J ND
REF BY VER BY 5959 COLLECTION CTR. DR.
CARL, IPJ 4u02 ��0�0�01�1'?75�9� e vil c Xcc� ILL. 60693
RECEIVED
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE o 0 STORE NO. EMP SR
85-001898 CITY OF' CAFRMEL /BROOKSHI 11/01/L01C. 778563 o6017 1` 1C
i CIVIC S GT 1 O C TIME PURCHASE ORDER NO. ATTENTION
CARME.L, IN 4E;c 322584 ME- 3 -10:25 09:25
INVOICE TYPE
(01) Deliver Charge Cale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
()C. 7556 BA WARRANTY 1 :4.:3'= 78. 1 ?(_jC 7 6. 17 C
This item was purchased on invoice 721053 02/02/2009
-1 7J5 E BA t Core Deposit i 0. CSC 1.2 5()Q 1.2. 50 CF D
1. CSC 7559 BA't BATTERY 1`4.9= 7E. 1 70C 7E,. 17
1. C C 755E LiF1 "t Core Deposit 1 C�. C�i 12. 5c_:c.:c: 1. 5C� D
21. 75515 BA7 MRNM ADJUST 1. 2(_ 1.2(. c15. ;_C) D
TOTAL I MISC. TAX TOTAL O n't 7. n „l E'
0 Control No. 5 8634 0
QaapaD CARMEL NA
111 FEDIGAL DRIVE Y OCR Y REMIT s VPU --IND
REF BY VER BY r r r ��5 °.i` 5� -3 C':O -E_C r C' /Rn
i R LL, IN 4b!1 r LJ4llJ���b 1 1
RE CEI VE D G�
1 AC�CI ILL
ALL GOODS RE URNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE I UR9 Mo I STORE NO. EMP SR
85-001898 CITY OF CARMEL /BROOKSH1 1.1/01/ 01�: 778569 10601.7 1 1C'
1 C: I V :I.0 SO of 2 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46t). 22584 W- 3 -10:25 09-:25
{01) Deliver INVOICE TYPE Charge Salt'
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
Purchased Date f:i /ii�lcC)�:rJ
SUB r\ 25. 2 1 MISC �1I_ )()U TAX C_) Q() TOTAL
6
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC -IND
IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
$65.32
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 775008 43- 500.00 ($10.00) 1 hereby certify that the attached invoice(s), or
1207 776044 43- 500.00 $50.12 bill(s) is (are) true and correct and that the
1207 776569 43- 500.00 $25.20
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, November 08, 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))
10/12/10 775008 Repair Parts ($10.00)
10/25/10 776044 Repair Parts $50.12
11/01/10 776569 Repair Parts $25.20
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