HomeMy WebLinkAbout172881 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 359984 Page 1 of 1
ONE CIVIC SQUARE INDIANA GOLF CAR CHECK AMOUNT: $88.70
CARMEL, INDIANA 46032 1770 B EAST 266TH STREET
ARCADIA IN 46030 CHECK NUMBER: 172881
CHECK DATE: 5/2712009
DEPARTMENT -ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 40 35.80 OTHER MAINT SUPPLIES
1207 4238900 88 52.90 OTHER MAINT SUPPLIES
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Indiana Golf Car, Inc. Invoice
1770 E 266th
Date Invoice
Arcadia, IN 46030
5/9/2009 40
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 5/9/2009
Quantity Item Code Description Price Each Amount
1 102273701 PD2 FUSE ASM 15.80 15.80
1 Repair Labor REPAIR LABOR 20.00 20.00
Total $35.80
Indiana Golf Car, Inc. Invoice
1770-B E 266th
Date Invoice
Arcadia, IN 46030
5/14/2009 88
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 5/14/2009
Quantity Item Code Description Price Each Amount
1 1014523 PUMP, IMPULSE FUEL 52.90 52.90
Total $52.90
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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
r,'rJ(� (0d Purchase Order No.
l '7'70 J3 c _D&& Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
s a. Qo
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
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
o 2Q 3,? -CPS 5;?. 9 bill(s) is (are) true and correct and that the
3.5) Z materials or services itemized thereon for
which charge is made were ordered and
received except
r 20
r ig nntl /T?-69
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund