159968 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 361119 Page 1 of 1
ONE CIVIC SQUARE LUBRICATION SPECIALISTS OF NE FL
CHECK AMOUNT: $130.60
CARMEL, INDIANA 46032 4941 MARINERS POINT DR
JACKSONVILLE FL 32225 CHECK NUMBER: 159968
CHECK DATE: 5/2812008
-EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4237000 040807 99.00 REPAIR PARTS
.905 4237000 040811 31.60 REPAIR PARTS
I
W W* w.prolong- usa.com Lubrication Specialists of NE Florida, LLC
I N V O I C E
INVOICE 040811 DATE: 04 -23 -08
PO VERBAL-JOHN TERMS: NET 30
SHIP VIA: PALMER SALESPERSON: GARY PALMER 317- 402 -0093
SOLD TO: SHIP TO:
BROOKSHIRE GOLF COURSE SAME
CITY OF CARMEL
CARMEL, IN 46032
ITEM QTY DESCRIPTION PRICE
40020 4 PROLONG SPL100- 12 Oz. $7.90 $31.60
www.prolong- usa.com
SUB TOTAL $31.60
TAX
INV. PROCESSED THANK YOU SHIPPING N/C
TOTAL $31.60
PLEASE REMIT TO: 317402 -0093 Gary Palmer
(Mobile)
LUBRICATION SPECIALISTS OF NE FLORIDA
4941 MARINERS POINT DRIVE
JACKSONVILLE FL32225
904- 716 -1407
4 Lubrication pecialists of NE Florida 4941 M ariners Point Drive Jacksonville FL 52225 9o4- 7i&407
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Sold To: c. Ship To
SAME
ITEM OTY PL- "Cp- IPTIO PP 1cr- TOTAL
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,5ue, TOTAL
Tax
APPtZOVED 15Y I TflAN4 YOU I /IJANDUN(
T OTAL
PLease 2emit to.
Lubrication 6peciaLlsts of AVE )cZorida
Q9.di M ariner-5 Point Drive
Jackson✓iLL-- FL 32225
Attention: A/h SUPER LUBRICANTS
www.prolong- usa.com Lubrication Specialists of NE Florida, LLC
I N V 0 1 C E
INVOICE 040807 DATE: 04 -15 -08
PG VERBAL-JOHN TERMS: NET 30
SHIP VIA: PALMER SALESPERSON: GARY PALMER 317 -402 -0093
SOLD TO: SHIP TO:
BROOKSHIRE GOLF COURSE SAME
CITY OF CARMEL
CARMEL, IN
ATTN: JOHN MAINTENANCE BARN
ITEM QTY DESCRIPTION PRICE
46000 10 PROLONG EP -2 GREASE 14 oz. TUBES $8.90 $89.00
www.prolong- usa.com
SUB TOTAL
TAY
INV. PROCESSED THANK YOU SHIPPING $10.00
TOTAL .O®
PLEASE REMIT TO: 317- 402 -0093 Gary Palmer
LUBRICATION SPECIALISTS OF NE FLORIDA (Mobile)
4941 MARINERS POINT DRIVE
JACKSONVILLE FL32225
904- 716 -1407
D N V® 1 C E
INVOICE 040807 DATE 04 15 -08
PO V ERBAL J OHN TERMS: NET 30
SHIP VIA: PALMER SALESPERSON GARY P ALMER 317- 402 -0093
►TO T O: SHIP T O:
BROOKSHIRE GOLF COURSE SAME
CITY OF CARMEL
CARMEL, IN
ATTN: JOHN MAINTENANCE BARN
ITEM QTY DESCRIPTION PRICE
46000 10 PR OLONG EP -2 GREASE 14 oz. TUBES $8.90 $89.00
www.prolong- usa.com
SUB TOTAL $89.00
TAX
INV. PROCESSED THANK YOU SHIPPING $14.00
TOTAL 0�
PLEASE REMIT TO: 397402 0093 Gary Palmer
LUBRICATION SPECIALISTS OF NE FLORIDA (Mobile)
4941 MARINERS POINT DRIVE
JACKSONVILLE FL32225
904- 7161407
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
G Purchase Order No.
LL�
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
a� Q 7 9 9
y- 3-03 008//
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
�G IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
2E D 8 b 7 37 9�/ O bill(s) is (are) true and correct and that the
ds U I/ 370 materials or services itemized thereon for
which charge is made were ordered and
received except
20 0
Si nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund