163795 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 359984 Page 1 of 1
ONE CIVIC SQUARE INDIANA GOLF CAR
0 CHECK AMOUNT: $305.27
CARMEL, INDIANA 46032 1770 B EAST 266TH STREET
ARCADIA IN 46030 CHECK NUMBER: 163795
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4237000 3788 99.99 REPAIR PARTS
1150 4350000 3812 205.28 EQUIPMENT REPAIRS M
INDIANA GOLF CAR Invoice
1770B EAST 266TH STREET
Date Invoice
ARCADIA, IN 46030
8/3012008 3788
Bill To Ship To
BROOKSHIRE C.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 8/30/2008
Quantity item Code Description Price Each Amount
I 102503221 SERVICE BACKREST ASM -BEIGE 99.99 99.99
Total $99.99
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
/770
4 cfd 03 o
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
115 3 .370 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
S g/�t 4 OZ,0
l�
Cost distribution ledger classification if Title
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.
D Payeee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
83v o8 �7
Total 9
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
INDIANA GOLF CAR Invoice
1770B EAST 266TH STREET Date Invoice
ARCADIA, IN 46030
9/9/2008 3812
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 9/9/2008
Quantity Item Code Description Price Each Amount
1 102287301 ASM- CONTROL ARM BUSHING 37.10 37.10
1 102289701 UPPER CLEVIS ASSEMBLY- LH 4.28 4.28
1 1012030 SPRING, FRONT LEAF 31.90 31.90
1 101570512 BEIGE DURO PREMIUM TREAD 42.00 42.00
1 SERVICE CALL SERVICE CALL 50.00 50.00
1 REPAIR LABOR REPAIR LABOR 40.00 40.00
wrecked cart #39
Total 520518
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
�r C vl�f �i9�L Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 5
1 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
7703 2!5x5:14 X66 4 57
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice or
c�'f� �S'� 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
r �OZ�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund