HomeMy WebLinkAbout203834 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 361032 Page 1 of 1
ONE CIVIC SQUARE DYNA SYSTEMS
CARMEL, INDIANA 46032 P D BOX 971342 CHECK AMOUNT: $430.43
DALLAS TX 75397 -1342
CHECK NUMBER: 203834
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 20518202 430.43 OTHER MAINT SUPPLIES
Dyna Systems SHIP TO If1VOICe
P.O. Box 655326 7BROOKSHIRE GOLF CLUB 1
Dallas, TX 75265 -5326
18001 336 0450 RUSSEL PICKETT 1 of 1
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C4 12120 BROOKSHIRE PKWY
CARMEL, IN 46033
NCH Corporation
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BILL TO REMIT TO: PO BOX 971342 �o`
F_ BROOKSHIRE GOLF CLUB DALLAS TX 75397 -1342 c��e Number
BOB HIGGINS "Distribution services include shipping and handling
12120 BROOKSHIRE PKWY charges. Returned merchandise not accepted without
CARMEL IN 46033 return goods authorization. All return claims for errors
or adjustments of any kind must be made within 15
days after receipt of goods.
INVOICE INVOICE DATE CUSTOMER CUSTOMER P/0 DUE DATE
20518202 10/28/11 DY305524 RUSSELL 11/27/11
ORDER SHIP DATE SALES REP RELEASE SHIP VIA
20455162 -1 I 10/28/11 D202 D202!1071 FED EX GROUND_
FOR REORDERS CALL 1- 800 336 -0450 FAX 1- 972 721 -6870
'.PART NO. ESCRIPTION /SIZE PKG QTY BIO QTY SHP UNIT PREGE EXT. AMOUIV f
DY00422945 CAP SCREW SIX SHOOTER EA 0 20 19.29
DY00422941 CAP SCREW SIX SHOOTER EA 0 20 16.83
DY02221300 NUT NYLON INSERT LOCK EA 0 50 10.21
DY02221700 NUT NYLON INSERT LOCK EA 0 50 12.56
DY02222100 NUT NYLON INSERT LOCK EA 0 50 16.98
DY02212900 NUT NYLON INSERT LOCK EA 0 50 34.17
DY03021300 WASHER FLAT USS DOMESTIC EA 0 100 8.09
DY03021700 WASHER FLAT USS DOMESTIC EA 0 100 14.42
DY01981700 NUT GR8 HEX USS USA /CAN M EA 0 100 27.96
DY01982500 NUT GR8 HEX USS USA /CAN M EA 0 50 19.93
DY01982100 NUT GR8 HEX USS USA /CAN M EA 0 50 15.73
DY20366605 CRIMP SHRINK BUTT CONNE EA 0 25 28.21
DY20366610 CRIMP SHRINK BUTT CONNE EA 0 25 28.68
DY20366615 CRIMP SHRINK BUTT CONNE EA 0 25 36.53
DY41350125 FUSE AUTO CLEAR EA 0 10 14.77
DY41350110 FUSE AUTO RED EA 0 10 14.12
DY41350120 FUSE AUTO YELLOW EA 0 10 14.12
DY40060004 CLAMP ALL STAINLESS HOSE EA 0 10 16.82
DY40060006 CLAMP ALL STAINLESS HOSE EA 0 10 16.82
DY87600320 SLASHER CUTOFF WHEEL EA 0 10 39.31
SUB TOTAL DISCOUNT MIN ORDER CHG SALES TAX SHIPPING TOTAL
405.55 0.00 24.88 AMOUNT 430.43
WE PROPER CREDIT, PLEASE DETACH HERE AND MAIL. r3[1TT[1nn Pr1 �n n
RT n!,�,� IT 4 r ,n p v� r 'T
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199;
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))
10/28/11 20518202 Repair Parts $430.4
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
Dyna Systems
IN SUM OF
P.O. Box 971342
Dallas, TX 75397 -1342
$430.43
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 20518202 42- 389.00 $430.43 1 hereby certify that the attached invoice(s), 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
Thursday, November 10, 2011
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund