162791 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 359984 Page 1 of 1
ONE CIVIC SQUARE INDIANA GOLF CAR CHECK AMOUNT: $360.00
CARMEL, INDIANA 46032 1770 B EAST 266TH STREET
ARCADIAIN 46030 CHECK NUMBER: 162791
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4350000 3559 360.00 EQUIPMENT REPAIRS M
.I
INDIANA GOLF CAR Invoice
1770B EAST 266TH STREET
Date Invoice
ARCADIA,IN 46030
7/22/2008 3559
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 Vi F.O.B. Project
KEN Net 30 7/22/2008
Quantity Item Code Description Price Each Amount
36 102478201 ASM, SAND BOTTLE 10.00 360.00
Total $360.00
Prescribed by Stare 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))
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
VOUCHE -R NO. WARRANT NO.
ALLOWED 20
-74 (?-4� IN SUM OF
%7703 Zg5? �24 4,
Colo
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/5'0 3 s &�,d 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
at b 4o-
Cost distribution ledger classification if �J Tltle�
claim paid motor vehicle highway fund