HomeMy WebLinkAbout176797 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 359984 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA GOLF CAR
CARMEL, INDIANA 46032 1770 B EAST 266TH STREET CHECK AMOUNT: $31.90
ARCADIA IN 46030
CHECK NUMBER: 176797
CHECK DATE: 9/2/2009
DEP ACCOUNT PO NUM IN VOICE NUMBER AMOUNT DESCRIPTION
1207 4237000 760 31.90 REPAIR PARTS
Indiana Golf Car, Inc. Invoice
1770 B E 266th
Date Invoice
Arcadia, IN 46030
8/21/2009 760
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL, IN 46033 CARMIEL, IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 8/21/2009
Quantity Item Code Description Price Each Amount
1 1012030 SPRING, FRONT LEAF 31.90 31.90
Total $31.90
Prescribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
1 Q Terms
SCE Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
>Q-n �2
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
JoZG 37G -cep go 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
S' natu e
5V In f3 v
Cost distribution ledger classification if tle
claim paid motor vehicle highway fund