HomeMy WebLinkAbout165812 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 359984 Page 1 of 7
ONE CIVIC SQUARE INDIANA GOLF CAR
CARMEL, INDIANA 46032 3770 B EAST 266TH STREET CHECK AMOUNT: $55.00
ARCADIA IN 46030 CHECK NUMBER: 165812
CHECK DATE: 1111212008
DEPARTMENT ACCOUNT PO NUM BER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4350000 3968 55.00 EQUIPMENT REPAIRS M
g
T0" 1~ CAR Invoice
1770E EAST 266TH STREET
ARCADIA, IN 46030 Date i
10/31/2008 3968
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL, IN 46033 CARMEL, IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 10/31/2008
Quantity Item Code Description Price Each Amount
1 101651407 TIRE/WHEEL ASSY, WHT X/T 6 PLY 55.00 55.00
T1 i
Total $55.00
Y' �-_J
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
l.vcz� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
100 3966
Total S_
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.
r
ALLOWED 20
IN SUM OF
7 74. 3
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Pots or INVOICE NO. ACCT #(rITLE AMOUNT
DEPT. a 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
20
Signature 99
Cost distribution ledger classification if Title Director of Golf
claim paid motor vehicle highway fund