162314 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 361032 Page 1 of 1
ONE CIVIC SQUARE DYNA SYSTEMS
CARMEL, INDIANA 46032 P 0 BOX 971342 CHECK AMOUNT: $249.71
DALLAS TX 75397 -1342 CHECK NUMBER: 162314
CHECK DATE: 817/2008
DEPARTMENT ACCOUNT PO. NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4350000 20175421 249.71 EQUIPMENT REPAIRS M
i
Dyna Systems SHIP TO Invoice
P.O. Box 65 5326
7526 FBROOKSHIRE GOLF CLUB
Callas, TX 75265 -5326
(800) 336 -0450 JOHN JUDAY 1 of 1
12120 BROOKSHIRE PKWY
NCH Corporation C CARIMEL, IN 46033
pol Acc
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BILL TO REMIT TO: PO BOX 971342 1f. o�
F_ BROOKSHIRE GOLF CLUB DALLAS TX 75397 -1342 !ca re
BOB HIGGINS Distribution services include shipping and handling
12120 BROOKSHIRE PKWY charges. Returned merchandise not accepted without
CARMEL IN 46033 return goods authorization. All return claims for errors
or adjustments of any kind must be made within 15
days after receipt of goods.
INVOICE INVOICE DATE CUSTOMER CUSTOMER P!0 DUE DATE
20175421 07/17/08 DY305524 JOHN 08/16/08
ORDER SHIP DATE SALES REP RELEASE SHIP VIA
20131368 -1 07/17/08 D202 D202!1045 I FED EX GROUND
FOR REORDERS CALL 1 -800- 336 -0450 FAX 1 -972- 721 -6870
PART NO. .�J1 SCRI3?T#ONMI21 QC'f SHk? .Uf1Et1 .P13IE 1 EXT, AMC�i3N7
99520050 COTTER HAIR PIN CLEVIS PI EA 0 1 231.78
(l 5 4�
&1S
SUB -TOTAL DISCOUNT MIN ORDER CHG SALES TAX **S HIPPING TOTAL
231.78 0.00 7.93 A 249.71
TO INSURE PROPER CREDIT, PLEASE DETACH HERE AND MAIL BOTTOM PORTION WITH YOUR PAYMENT.
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
75 S 5 32- 6, Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7//7/ 20 7S z l
Total q 1
f 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
o x
ON ACCOUNT OF APPROPRIATION FOR
Board Members
POs or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoices or
(gip /7S 3Sra z f 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
20
M ture
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund