HomeMy WebLinkAbout174369 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 359984 Page 1 of 1
F, ONE CIVIC SQUARE INDIANA GOLF CAR CHECK AMOUNT: $490.80
CARMEL, INDIANA 46032 1770 B EAST' 266TH STREET
ARCADIA IN 46030 CHECK NUMBER: 174369
CHECK DATE: 718/2009
DEPART AC PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
1207 4350000 329 490.80 EQUIPMENT REPAIRS M
Indiana Golf Car, Inc. Invoi
1770 B E 266th
Arcadia, IN 46030 Date Invoice
6/25/2009 329
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL, IN 46033 CARMEL, IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 6/25/2009
Quantity Item Code Description Price Each Amount
I DUMP BED DUMP BED 475.00 475.00
1 102273701 PD2 FUSE ASM 15.80 15.80
Total 5490.80
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 W n o (ac Purchase Order No.
1 l U G ���`�'e'" Terms
'Qg«. t ��03 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
t;l hlt 4 :E j U 0
Total U 0b
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.
G ALLOWED 20
IN SUM OF
A-r Cad lam. ._.1�
OMO
ON ACCOUNT OF APPROPRIATION FOR
7 4:aA
[2o 4�"Y-simce-
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I I hereby certify that the attached invoice(s), or
(0 bq 3�q 5 M -cc> q9D 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
.Sign+ ire
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund