206996 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 051000 Page 1 of 1
t` ONE CIVIC SQUARE CARMEL WELDING SUPP INC
CHECK AMOUNT: $27.18
CARMEL, INDIANA 46032 550 S. RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 206996
CHECK DATE: 3113/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 329393 27.18 OTHER MAINT SUPPLIES
DATE INVOICE 1
3/06/12 329393 1
TIME CARMEL WELDING AND SUPPLY PZO NUMBER
11:28:36 550 South Rangeline Road
SAL ESMAN Carmel, Indiana 46032 WORK ORDER I
017/017 317- 846 -3493 www.CarmelWelding.com j
STORE E
1 I
Terminal 12 1 of 1
ACCOUNT RT LL TO 2004 SHIP TO
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
CITY OF CARMEL -ATN P.BLOCKUMS CITY OF CARMEL -ATN P.BLOCKUMS
12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 CARMEL, IN 46033
Tax Exemption 0031201550 -0
WWW.CARMELWELDING.COM P1ese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
charge. No return on electrical or special orders
ORD SHIP B O VINEI PART NUMBER I DESCRIPTION LI I NET AMOUN
1 1 STIIGAL 1 GAL. STIHL BAR OIL 13.98 13.98
1 1 STI62KL 2 CYCLE OIL 6.402 13.20 13.20
SUB TOTAL 27.18
CHARGE SALE MISC. 0.00
LABOR 0.00
TAX 7.000 0.00
Signature INVOICE TOTAL 27.18
VOUCHER NO. WARRANT NO.
Carmel Welding ALLOWED 20
IN SUM OF
550 S. Rangleline Road
Carmel, IN 46032
$27.18
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
1207 I 329393 I 42- 389.00 I $27.18 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
Monday, March 12, 2012
Director, Brookshir olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/06/12 329393 Oil $27.18
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