HomeMy WebLinkAbout207912 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 359984 Page 1 of 1
ONE CIVIC SQUARE INDIANA GOLF CAR
CARMEL, INDIANA 46032 mO a EAST 266TH STREET CHECK AMOUNT: $143.70
ARCADIA IN 46030
CHECK NUMBER: 207912
CHECK DATE: 411 012 01 2
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 3665 143.70 EQUIPMENT REPAIRS M
Indiana Golf Car, Inc. Invo
1770 B E 266th
Date Invoice
Arcadia, IN 46030
4/3/2012 3665
Bill To Ship To
BROOKSHIRE' G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY. 12120 BROOKS14IRF PKWY.
CARMEL, IN 46033 CARMEL, IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
RUSSELL Net 30 4/3/2012
Quantity Item Code Description Price Each Amount
3 103528801 KIT, BRAKE CABLE, PREC UPGRADE 47.90 143.70
Date I Init.
Account oa
Account
Account
Account
Tota $143.70
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Golf Car, Inc.
IN SUM OF
1770 B E 266th
Arcadia, IN 46030
$143.70
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 I 3665 I 43- 500.00 I $143.70 1 hereby certify thatthe 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
Thursday, April 05, 2012
D irector, Broo shire 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))
04/03/12 3665 Repair Parts $143.70
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