156067 02/05/2008 i
CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COT%
CARMEL, INDIANA 46032 C/O PAUL BLOCKOMS CHECK AMOUNT: $450.40
CHECK NUMBER: 156067
rON 0
CHECK DATE: 2/5/2008
DE PARTMENT ACCO PO NUMBER INVOIC N UMBER AMOUNT DESCRIPTION
,905 4238900 93.81 OTHER MAINT SUPPLIES
905 4342100 41.00 POSTAGE
905 4350100 123.59 BUILDING REPAIRS MA
.,905 4350900 20.00 OTHER CONT SERVICES
905 4355300 172.00 ORGANIZATION MEMBER
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CENTRAL Trig ANA HARDWARE
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Sales order
Sold to:
CASE, SALE riVC;TANAPO 7,S Shi
Indianapolis, IN 46256 indlarapolis IN 462S6
7 Date
Will Call 01116102
Salesperson Sustoreer order tab 1 4
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!t;@ i!dteridl5 listed hive been fec ^i.Vad corptzka arG udamayed. Any con paled sh rkaaas or daaia5as muck be reported w.ithrrt 5 days,
By: (S ign) .M Date: I
(Pri nt) .M 110. of Pieces:
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Page: 1
Invoice
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Your Yt1 Source For Invoice Number: S100106049 Food Service Equipment Suppiies
Sold To Ship To
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
DEE BAILEY DEE BAILEY
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL, IN 46032 CARMEL, IN 46032
US US
Customer No. Customer P.O. No. Taken By Order Date Type Date
C00010701 COUNTER1 01/07/08 Invoice 01/ 07/08
Order Number Shipment Method Shipped Via Type
S0107619 Counter CUSTOMER CUSTOMER Counter
Salesperson Terms Phone No.
Thomas Fugate Cash 3178467431
Item Ord Qty B Ord I O Inv Unit
Product Code Kit Item No. Description
Unit Price Amount Tax
Produ od
Q t y
10000 1 1 EA 399DO11 -14 FAUCET W114" SPOUT WALL 86.40 86.40 N
MOUNT 8" CENTER Z -LINE
t X,
j l 1 L 4 rA��I��.�..
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Subtotal: 86.40
Total Sales Tax: 0.00
Order Pay 86.40
Received By Please pay from this invoice, 1 1/2 added to past due invoices. Total Am ount Due: 0.00
Back ordered items will be shipped as soon as possible and invoiced
at that time. See warranties and important information at Zesco.com
n or in the front pages of your Zesco catalog.
Zesco Products Local Indianapolis, Inc. (317) 269 -9300 Local Fax (317) 269 -9022
640 North Capitol Avenue Toll Free Nationwide (800) 729 -5051 Toll Free Fax (800) 537 -9335
Indianapolis, IN 46204 Online Catalog www.zesco.com
Customer Copy
INVOICE Ho
]K BTC]EIENS )BAT1 ]fS MORE
REMIT TO
ECONOMY PLUMBING SUPPLY CO INC.
9755 Hague Road PFO 60X
Indianapolis, IN 46256 -3304 INDIANAPOLIS IN 46206:0217
Ph: (317) 841-6444 Fax: (317) 841-6443
IIU
218 2161587- 0001 -02
BILL SHIP
TO: CASH 218 TO. CASH 218
NET TERMS: INV 0 DUE: 01/18/08
CE1!tll Eft::> FAI(> Et: i_:::;:::::::: i::::::::>::::<>::::: CUSTOPAEH:: P:: 6t fktlEH:: fi: 2><: i:: i:::>;:>;:>:::::::::: ::::;:::;:'LSA]E<::: »s
2161587 0001 -02 199 01/18/08• 218 01/18/08 13:00: -10 01/18/08
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2 2 DE A P9791 A EA 3.47 6.94
D/B 1 1/4 X 12 PVC EXT TUBE
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1 1 DEA P9704BG EA 1.25 1.2'5
DEARBORN 1 1/2 PVC P TRAP
TENDERS
CASH 8.68
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RETURN /REFUND POLICY THIS IS YOUR INVOICE SUB TOTAL 8.1
A RECEIPT MUST ACCOMPANY ALL RETURNS.
SPECIAL ORDER ITEMS ARE NOT RETURNABLE. MISC; CHARGE>
ALL RETURNS MUST BE MADE WITHIN 60 DAYS OF PURCHASE. SPECIAL ORDERS WILL NOT BE TELE. CHARGE
ALL RETURNS MUST BE IN THE ORIGINAL CARTON. PROCESSED WITHOUT SIGNED
ALL RETURNS MUST BE IN RESALEABLE CONDITION. FREIGHT TOTAL
DOCUMENTATION AND DEPOSIT.
ALL DEFECTIVE MATERIAL WILL BE HANDLED ACCORDING TO
THE MANUFACTURER'S WRITTEN WARRANTY. FED. /OTHER T A X
STATE TAX
PAYMENT RECD.
CUSTOMER SIGNATURE MERCHANDISE RECEIVED BY: 'T.OT., %AMT DUE:
DATE: X 0 0 0
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be property 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
�J Ro�?vtS atc 2E Lr- CL.
J
Q Purchase Order No.
L (ZC_ O berms'
G>1& IA Date 'Due
Invoice Invoice Description ,r Amount
Date Number (or note attached inuoice(s) or bill(s))
o �Cj� ft.�. 1-t �r� �-S lr� o F�Eltlb -'t� a �s z l{, D O
Lq D GM 6 +-0 P o PS
A L,o %.IL Swot aPs
16 of C."-raim- Too-.ar'lA 1 Staaor+ S�4�1 G414C oPs ZC%, of
1 0$ C.Ft h ysr oPS cL
0 O
Total ,Z,� 0
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
IN -SUM
t
v r
ON ACCOUNT OF APPROPRIATION FOR a
CG (IC- Cjo
,Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
GRG LJZ38i 00 14 bill(s) is (are) true and"correct sand that the
CtLL �90� h.00 materials or services itemized'thereon for
J� Z W 114.4S which chagge is made were ordered and
C-as- 3 ,c received except
C-SL
c-(t-C-
C- L!C- 23
Cry of
4 00 :r
20
Signature
Cost distribution ledger classification if Tit1b
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
y 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.
t
Payee
R �S Vk a& �3 Purchase Order No.
G c k 0 \"J tJn Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02 t j0_ Dv
o� a.�(v fix-�- c. vc, Q.a C.,. -s S iL3 1 .o J
t 0 (,�(L� v�4 �ti G>.) G.At'CLoea C 4i*}SS Kj D v
09 P O
Total c t 2.. oo
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
'HER NO. WARRANT NO.
ALLOWED 20
1c� fLAau(S mac. Qk. -1�` �Q
p IN' SUM OF
Ars
S
o�?
ON ACCOUNT OF A'PPRO'PRIATION FOR
Board Members
PO# or DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
CA C- O�' bill(s) is (are) true and correct and that the
materials or services itemized thereon for
L2.r— (tt. which charge is made were ordered and
received except
c1L�
W 1 22-0D
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund