208338 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 359984 Page 1 of 1
ONE CIVIC SQUARE INDIANA GOLF CAR
CARMEL, INDIANA 46032 1770 B EAST 266TH STREET CHECK AMOUNT: $239.80
ARCADIA IN 46030 CHECK NUMBER: 208338
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 3694 55.80 EQUIPMENT REPAIRS M
1207 4350000 3730 184.00 EQUIPMENT REPAIRS M
Indiana Golf Car, Inc. I nvoice
1770 B E 266th
Date Invoice
Arcadia, IN 46030
4/17/2012 3730
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
RUSSELL Net 30 4/17/2012
Quantity Item Code Description Price Each Amount
1 102509301 REAR LEAF SPRING, ELEC 46.70 46.70
1 103528801 KIT, BRAKE CABLE, PREC UPGRADE 47.90 47.90
2 103628701 SPRING ASM, FRONT, I LEAF 44.70 89.40
D ate Z-b �l Init.
Account q' 6
ccount.
ccount
ccount
Tota $184.00
x v NO. WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
If Car, Inc.
IN SUM OF CITY OF CARMEL
66th An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
46030 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
$184.00
Purchase Order No.
OUNT OF APPROPRIATION FOR
Terms
Brookshire Golf Club
Date Due
Invoice Invoice Description Amount
INVOICE NO. ACCT /TITLE AMOUNT Board Members Date Number
(or note attached invoice(s) or bill(s))
3730 43- 500.00 $184.00 1 hereby certify that the attached invoice(s), or 04/17/12 I 3730 I Repair Parts I $184.00
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, April 23, 2012
Director, Brooks re Golf Club
Title
st distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
im paid motor vehicle highway fund with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
Indiana Golf Car, Inc. Invoi
1770 B E 266th
Date Invoice
Arcadia, IN 46030
4/10/2012 3694
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
RUSSELL Net 30 4/10/2012
Quantity Item Code Description Price Each Amount
1 101823201 BRAKE SHOE PACKAGE SELF ADJ 55.80 55.80
Date z4- Init. �A
Account 1 000 0
Account
Account
Account
Total $55.80
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))
04/10/12 3694 Repair Parts $55.80
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
Indiana Golf Car, Inc.
IN SUM OF
1770 B E 266th
Arcadia, IN 46030
$55.80
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 I 3694 I 43- 500.00 I $55.80 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
Friday, April 13, 2012
Director, Broo hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund