193759 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P CHECK AMOUNT: $40.46
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 193759
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 0851898 14.48 783179
1207 4350000 0851898 25.98 783382
Conl,ol No.
ate® CARMEL NAPA 9672775
III OICAL DRIVE y OCR y REMIT e GPC I ND
REF BY VER BY 5959 COLLECTION CTR. DR.
mw" a 1000060
IPA 4603M CHICAGO ILL. 6(")693
RECEIVED
177833826 BY x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE I M% aQM I STORE NO. EMP SR
85----001898 CITY OF CARMEL/IBROOKSHI 783382 1060 1 7- 1(
i Cr 1 v I C s Q 1 of 1. TIME PUR C HASE ORDER NO. ATTENTION
CARMEL, IN 46o322584 W- 3-12:08 11:08 INVOICE TYPE I
I0) Deliver Charge Sal e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2. NBC 18 OW I BEAR MADE 1. 5. 9 9 12.9900 25.98 T
SUB TOTAL (.VAI-X 1,84, 27+
TOTAL 2 5. 9 0. 0C[ 7.
ITTT\ Control No. 9672551
ft*
low@ CARIYIEL. NAPO
III KEDICAL DRIVE y OCR y REM I'T'. GP I NDV '1'' -R e
5 EC*T* N *f D
REF BY VER BY I
c
CARRE17 599 CO
M 46032922 CHICA L IG. f
RECEIVED
1000060177831793-- BY XG%�
ALL GOODS RETURNED MUST BE kCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE I MM�cg GM I STORE NO. EMP SR
0 0
.1 1. 89 6 CI'T*Y OF* CARMEL/BROOKSH1 0 2 01 J' 78 1 179 17 1 1(
I civic so I of I TIME 1 o'PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46•:322584
INVOICE TYPE
(OW I Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. OC 10020 LUC LUCAS FILL TEA r G. 99 49o(:i
Above Item on Sale
1. Oc 10326 NC}. ARMOR ALL PROT 1 13. 7' 1 990 1(
SUB t 4. Zi M1 01 Oc 7. 000c TAI-1 0. 0 TOTAL 14.1.8
TOTAL Yy
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC -IND
IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
$42.28
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Gaff Club
0��) \0
PO# J Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 783179 43- 500.00 $14.48 1 hereby certify that the attached invoice(s), or
1207 783382 43- 500.00 $7-$9
bill(s) is (are) true and correct and that the
Lj materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, January 18, 2011
I
Director, Brooks 'r 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))
01/10/11 783179 Repair Parts $14.48
01/12/11 783382 Repair Parts $27.80
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