207032 03/13/2012 a CITY OF CARMEL, INDIANA VENDOR: 361032 Page 1 of 1
4 ONE CIVIC SQUARE DYNA SYSTEMS
CHECK AMOUNT: $191.84
CARMEL, INDIANA 46032 P 0 BOX 971342
DALLAS TX 75397 -1342 CHECK NUMBER: 207032
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 20552043 191.84 EQUIPMENT REPAIRS M
Dyna Systems SHIP TO Invoice P.O. Box 655326 BROOKSHIRE GOLF CLUB 7
Dallas, TX 75265 -5326
(800) 336 -0450 RUSSEL PICKETT 1 of 1
12120 BROOKSHIRE PKWY
NCH Corporation CARMEL, IN 46033
g 0p1 ACC
co
y 0 a ii
A
n m
BILL TO REMIT TO: PO BOX 971342 f_ oco
BROOKSHIRE GOLF CLUB DALLAS TX 75397 -1342 ,ca fe Nurnb
BOB HIGGINS "Distribution services include shipping and handling
12120 BROOKSHIRE PKWY charges. Returned merchandise not accepted without
CARMEL IN 4fiO33 return goods authorization. All return claims for errors
or adjustments of any kind must be made within 15
days after receipt of goods.
INVOICE INVOICE DATE CUSTOMER CUSTOMER P/0 DUE DATE
20552043 02/22/12 DY305524 GREENS SUPER 03/23/12
ORDER SHIP DATE SALES REP RELEASE SHIP VIA
20486469 -1 02122112 D202 D202f4 FED EX GROUND
FOR REORDERS CALL 1- 800 336 -0450 FAX 1 -972- 721 -6870
PART NtJ ....[)15Cf11F'Tlf]N151 E PKG: .QTY BiQ CITY SHP UNIT;pRICE EXT, AMOi�
DY00422137 CAP SCREW SIX SHOOTER EA 0 100 50.40
DY00421737 CAP SCREW SIX SHOOTER EA 0 50 18.25
DY00422133 CAP SCREW SIX SHOOTER EA 0 30 14.33
DY00422141 CAP SCREW SIX SHOOTER EA 0 20 12.29
DY00422145 CAP SCREW SIX SHOOTER EA 0 20 13.37
DY00422147 CAP SCREW SIX SHOOTER EA 0 20 16.09
DY41350010 FUSE MINI ATO RED EA 0 10 13.78
DY41350120 FUSE AUTO YELLOW EA 0 10 17.66
DY41350125 FUSE AUTO CLEAR EA 0 10 18.47
Date Init. v) i�
Account
Account
Account
�,;.r,��unt
SUB -TOTAL DISCOUNT MIN ORDER CHG SALES TAX *SHIPPING TOTAL
174.64 0.00 1 7.20 AMOUNT 191.84
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dyna Systems
IN SUM OF
P.O. Box 971342
Dallas, TX 75397 -1342
$191.84
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# l Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 I 20552043 43- 500.00 I $191.84 1 hereby certify that the attached invoice(s), or
I 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 05, 2012
Director, Brooks re Golf 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))
02/22/12 20552043 Repair Parts $191.84
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