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191543 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00350801 Page 1 of 1 0 ONE CIVIC SQUARE AUTOMATIC IRRIGATION SUPPLY CO CHECK AMOUNT: $83.78 CARMEL, INDIANA 46032 PO BOX 2879 INDIANAPOLIS IN 46206 -2879 CHECK NUMBER: 191543 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 1019640 -IN 83.78 EQUIPMENT REPAIRS M nvOlce Page: 1 116 Shadowlawn Drive Invoice Number: 1019640 -IN Fishers, IN 46038 -2431 Invoice Date: 10/22/2010 (317) 842 -3123 (800) 842 -3911 AUTOMATIC IRRIGATION Fax (317) 845 -0977 Order Number: 1019640 S U P P L Y C 0 M P A N Y Order Date 10/22/2010 Salesperson: GOLF PLEASE NOTE OUR NEW REMIT TO ADDRESS Customer Number: 09- 0002055 a Ship To: BROOKSHIRE /CITY OF CARMEL BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PARKWAY CARMEL, IN 46032 CARMEL, IN 46032 Confirm To: BOB HIGGINS P.O. Customer F.O.B. W /C 30 DAYS NET Ship s• Item Number 25 25 0 L448012 PVC CAP F 11/4 BX25 1.6380 40.95 25 25 0 L448015 PVC CAP F 1112 BX25 1.7131 42.83 Net Invoice: 83.78 Less Discount: 0.00 Freight: 0.00 Sales Tax: 0.00 You May Deduct $0.00 If Paid by 10122/2010 Invoice Total: 83.78 ew W VOUCHER NO. WARRANT NO. ALLOWED 20 Automatic Irrigation Supply Company IN SUM OF P.O. Box 2879 Indianapolis, IN 46206 -2879 $83.78 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 1019640 -IN 43- 500.00 $83.78 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, November 01, 2010 Director, Brooks e 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 property 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)) 10/22/10 1019640 -IN Repair Parts $83.78 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 2a Clerk- Treasurer