157910 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 361032 Page 1 of 1
ONE CIVIC 'SQUARE DYNA SYSTEMS
CARMEL, INDIANA 46032 P 0 BOX 971342 CHECK AMOUNT: $408.29
dn -o. DALLAS TX 75397 -1342 CHECK NUMBER: 157910
CHECK DATE: 4/112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4238000 2013282201 406.29 SMALL TOOLS MINOR E
Dyna Systems SHIP TO Invoice
P.O. Box 655326 BROOKSHIRE GOLF CLUB
Dallas, TX 75265 -5326
(800) 336 -0450 JOHN JUDAY 1 of 1
12120 BROOKSHIRE PKWY *OY
p CARMEL, IN 46033
NCH Corporation
r 9 �p1 Acc
O ol�A
BILL TO REMIT TO: PO BOX 971342 o
BROOKSHIRE GOLF CLUB DALLAS TX 75397 -1342
BOB HIGGINS "Distribution services include shipping and handling
121 BROOKSH IRE 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/O DUE DATE
2013282201 03/04/08 DY305524 JOHN JUDAY -NOTES 04/03/08
ORDER SHIP DATE SALES REP RELEASE SHIP VIA
20091076 -1 03/04/08 X433 X433!7077 I FED EX GROUND
FOR REORDERS CALL 1 -800 -336 -0450 FAX 1- 972 -721 -6870
PAa1 tJ :7ESC ff'TI4N IZ1r PKG...:QTY.SIp....a Y SHP::.. €JL IT EX1 Alvl( UNf
41101645 BATTERY TERMINAL 2BOLT LE EA 0 3.33 6.06
99520500 CAPSCREW METRIC 8.8 24HOL EA 0 0.33 61.90
99523680 HOSE CLAMP SOLID SS EA 0 0.33 47.92
99515001 FUSES ATO GLASS EA 0 0.33 48.28
99941010 PARTS AND HARDWARE SYSTEM EA 0 0.33 199.65
03-24-08 A 1 1: 13 IN
V
This is Part 1 Of A 3 Part Billing
SUB -TOTAL DISCOUNT MIN ORDER CHG SALE *SHIPPING TOTAL
363.81 2 8 42.49 AMOUNT 430.67
Tn IIUQI IRE OPnDr r'_RMIT PI FACE nr -TARH HFRF MAII RnTTC1M PCIRTInN WITH Vr3UR PAVUPUT
9p pl Ace,
�A
it G LIST a
a
m rn
FROM �1 TO dfe Number
7 DYNA SYSTEMS I �BROOKSHIRE GOLF CLUB
1400 EAST NORTHGATE DRIVE JOHN JUDAY
IRVING, TX 75062, 12120 BROOKSHIRE PKWY
CARMEL, IN 46033
CUSTOMER NUMBER ORDER NUMBER SALES REP T20091076-1 ELEASE CARRIER PAGE
DY305524 20091076. X433 FED EX GROUND 1
ORDER DATE SHIP DATE SLS REP /JOB NO. CUSTOMER P/O NUMBER
03/03/08 03/04/08 X433!7077 JOHN JUDAY -NOTES
M I LINE: PART. NUl BE1� 3ESCR1£'TI N SI E P{�G
CITY' 4TY QiY
Hfl6�3IJ Bf�3 SNIpPE1
1 A411`01I645 BATTERY: TERM1NAL 6_, -1GA _UNIVEF SAL A 39 0 'i; 1(J
MSDS Is Included Or Will Be Mailed
2 <:99520500 :CAP.S:CREW.ME!TRIC 8 '8 ".24HOLE: 8 :55'PC 'E[ ER.. 1 0 sr, l
3 99523680 HOSE CLAMP SOLID SS 56PC EA 1 0 1
4 €:99515,001 ;ATO !GLASS: -05PC EA 1.. 0 1
5 99941010 PARTS AND HARDWARE SYSTEMI EA 1 0 1
I i ..;'i..
I.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City ,Form No. 201 (Rev. 1995)
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))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
0
ON ACCOUNT OF APPROPRIATION FOR
Sots zl
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I 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
200 2
Si t re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund