HomeMy WebLinkAbout160959 06/25/2008 CITY OF CARMEL, INDIANA VENDOR:. 361119 Page 1 of 1
ONE CIVIC SQUARE LUBRICATION SPECIALISTS OF NE FL
l 4 CHECK AMOUNT: $130.34
CARMEL, INDIANA 46032 asai MARINERS POINT DR
JACKSONVILLE FL 32225 CHECK NUMBER: 160959
CHECK DATE: 6/25/2008
DEPARTMENT ACCO PO NUMBER IN VOICE NUMBER AMOUN DES CRIPTION
905 4237000 050806 T 130.34 REPAIR PARTS
i
www.prolong- usa.com Lubrication Specialists' NF Florida, LLC
I N V O 1 C IE
INVOICE 050806 DATE: 05 -12 -08
PO VERBAL TERMS: NET 30
SHIP VIA: PALMER SALESPERSON: GARY PALMER 402 -0093
SOLD TO: SHIP TO:
BROOKSHIRE GOLF COURSE
CITY OF CARMEL SAME
ATTN: JOHN JUDAY
ITEM QTY DESCRIPTION PRICE
46000 10 PROLONG EP -2 GREASE- 14 oz. $890 $89.00
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www.prolong- usa.com
SUB TOTAL
TAX
INV. PROCESSED THANK YOU SHIPPING $10.00
TOTAL
PLEASE REMIT TO:
LUBRICATION SPECIALISTS OF NE FLORIDA
4941 MARINERS POINT DRIVE
JACKSONVILLE FL32225
904 716 -1407
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.
d7� Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
17 Via.
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.
1 20
Clerk Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
�f' C-L-
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice 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
a3 20��
Sign 4 r,�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund