209161 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
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ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P CK AMOUNT: $220.80
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 209161
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 085001898 191.24 830841
1207 4350000 085001898 29.56 831069
Control No 7250665
0® CARMEL NAPA
1441 S GUILFORD AVE STE 140 Y OCR y REMIT. -GPC IN
13
REF BY VER BY 5959 CO ECT C 'R
CANEL, 032-2K CF 0 IL 0
1000060178310693 BY x
ff�ODS RETURNED MUST BE ACC N ED BY THIS INVOICE
ACCT NO. SOLD TO STORE NO. EMP SR
85- 001896 CITY OF 15 10
1 civic so I of I TIME PU ORDER N ATTENTION
CARMEL, IN 46032--2584
INVOICE T YPE
7%0 r -Way-ge Gale
QUANTITY PART NUMBER LINE DESCRIPTION
CODE
4. 00 E, ASP Spark Plug Cop 88 .1 69J�Cj-,, -76
1(j, 00 3ol-G-36B RFD 9.90
10. 00 4i -84013 RFD CAP SCRW 1.78 1, 2900 12.90
SUB 2 9. 5
TOTAL 0000 TAX 00 TOTAL 29.5
R,
Date Init. I�
Account. g3 o
Account
Account
Account
Control No. 7 3 2 9 3 1
RAW
0® CARMEL NAPA,
1441 S GUILFORD AVE SIL- 140 Y OCR y REM 1 F- GPC--- I ND
REF BY BY, 5959 C.OL..LEC'1 C'1 DR.
CA MR:, IN 460,e--M C0 1L.L... 60693-
BY
1000060178306412 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. EUP SR
pr, r
?a o
85-001.898 C1`('Y OF* CARMEL"BROOKSHI pqf )g/ I-
I civic SO I of 2 TIME' ATTE NMN
CPRMEL, IN 4EX)'3'2 P1 99 Q '9 9 r 1 -k WVbIC E TYPE
6tYANTITY PARTNUMBER LINE DESCRIPTION PRICV' I NET 'TUML tbDE
6. 00 1006 CE SNAP RIN 0.8 4.14
1. 00 1oo2o L U C LLM FUEL TREAT 3. 74 3.480C) 3.43
Above Item on Sale
5. C 1,394 j--- IL KAPAW OIL FIL 12.44 7. 4900 37.45
4. 0 G 139 F I L- IWABOLD AIR F1 16. 68 9. 6900 38. 76
21.26 1
TOTAL TAX L/ TOTAL Continu
sw E' {j
Control No:
RAW 7322.1232
CARMEL NAPA
1441 S GUILFORD HE STE 140 Y t C R Y. REM I T-. I ND
Rff BY VER BY d 59 C: 4k. -I-q /'tl R
CPU, IN 4wye-au I
O
006017-83 12 "y ;E
41 TL WE13 M LIST ACC6MWIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE STORE NO. I EMP SR
85----()01896 C I TY OF* CARMEL "BROOKSI-1 G. C) 17 1 V-. 1
E ,f nCHAS 5 ATTENTION
I CIYIC so 2 f
CARMEL., IN 460-232-258 NE :7 i-I C1:7 IF 1-
vl� J41 F
L tUANTITY PART NUMBER LINE DESCfffTION R I Qt i NET rtJ rAl tbDE
1. 00 2444 NAPIRGOLD AIR F1 31.49 17. 2000 1,7.2(-
2.00 1 -36 5 F'I L.. NAWLD OIL FIL 14. 76 S. 4900 1 El. 96
1. 00 85 -805 NHF PR04 RW 46 HYD F 94. •4 A-9. 9900 4 9. 99
SUB 0 (7)() 1
1 TOTAL �j
1. 91. G.Z.I. V90 o. 00 1 7. 91. A
TOTAL TAX I
Dale_ snit.
Account v
Account Q
i
Account
Account
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC -IND
IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
$220.80
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members
1207 830841 43- 500.00 j $191.24 1 hereby certify that the attached invoice(s), or
1207 831069 43- 500.00 $29.56 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
Wednesday, May 09, 2012
Director, BrookshIfe 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))
04/26/12 830841 Repair Parts $191.24
04/30/12 831069 Repair Parts $29.56
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