171850 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362828 Page 1 of 1
ONE CIVIC SQUARE GENERAL PARTS LLC CHECK AMOUNT: $224.00
CARMEL, INDIANA 46032 Mi lo szol
CHECK NUMBER: 171850
MINNEAPOLIS MN 55480 -9201
CHECK DATE: 4/2912009
DEPARTMENT ACCOU PO NUMB INVOICE NUMBER AMOUNT DE SCRIPTION
1207 .4237000 5154058 224.00 REPAIR PARTS
i
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4a /r0 -2049 FRI 17:16 Fax 3172908085 0 004 /404
INVOICE. 5154058
gen eral p a its Service order: 637026
6546 CORPORATE DRIVE Customer PO 086245142
INDIANAPOLIS, IN 46278
BiIIiTo;: 32836,
317- 290 -8060 FAX 317 290 -8085
600 410 -9794 •FAX 877 -715 -1373 BROOKSHIRE GOLF CLUB
12120BROOKSHIRE PKWY
bvoice Date: 04/10/2009 CARMEL IN 46033
Phonc:(317) 716 -8428
Mail To; 32836 se".ire'd AtfShi ed To 32836
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL,IN 46033 CARMEL IN 46033
Phone :(317)846 -7431 Phone-(317) 716-8428
M &]c� Equipm�n "Model Sdii,al No GP Tag
JACKSON DISHWASHER AVENGERHT 086245142 228452
Work Performed Repair Approved and Inspected by: KEN MILLER
3/5/9 -CAME OUT, INSPECTED UNIT AND THE UNIT DOES NOT I IAVE 230V GOING TO UNIT, HAD I I OV.
CHECKED BREAKER AND ONLY 1 10V AT BREAKER. ADVISED CUSTOMER TO CALL ELECTRICIAN AND
I ALSO FIXED SCREW THAT WAS MISSING FROM PANEL. CUSTOMER CHECKED PANEL IN BASEMENT
AND THAT PANEL DIDN'T FEE THE PANEL GOING TO DISHMACHINE.
Service Call Charge 59.00
1.00 Hour(s) Labor 85.00 85.00
Gone Travel Charge (Tr) 1 80.00: 80.00
Total 224.00
Paid 0.00
Balance Due 224.00
Terms. NET 10 DAYS
Charge
Form 73 Printcd
*REIYIIT TO: GENERAL PARTS LLC M110 PO BOX 9201 MINN]EAPOLIS MN 55480 -9201
r'
Prescribed by St a4e Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
191?4� C6
Total as (p}
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
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
S26-&6 W 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
§i
t
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund