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Home My WebLink About210863 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 319510 Page 1 of 1 ONE CIVIC SQUARE GRAINGER INC CHECK AMOUNT: $1,575.41 CARMEL, INDIANA 46032 DEPT 804572097 oN co PALATINE IL 60038-0001 CHECK NUMBER: 210863 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 9852202747 56 . 16 BUILDING REPAIRS & MA 1093 4238000 9857679527 205 . 75 SMALL TOOLS & MINOR E 1125 4238900 9859057029 261 . 16 OTHER MAINT SUPPLIES 1125 4238900 9861212158 765 . 92 OTHER MAINT SUPPLIES 1093 4350100 9861929892 115 . 24 BUILDING REPAIRS & MA 601 5023990 9864645289 30 . 28 MATERIALS & SUPPLIES 651 5023990 9865628995 74 . 97 MATERIALS & SUPPLIES 1207 4350000 9872301479 32 . 96 EQUIPMENT REPAIRS & M 1207 4350000 9872301487 32 . 97 EQUIPMENT REPAIRS & M P IAGE 1 ORIGINAL INVOICE GRAINGER ACCOUNT NUMBER 847517521 9210 CORPORATION DR. EBY: —A� 9852202747 INDIANAPOLIS,IN 46256-1017 INVOICE NUMBER www.grainger.com INVOICE DATE 06/13/2012 2 DUE DATE 07/13/2012 AMOUNT DUE $56.16 SHIP TO ATTN:DAWN CA RMEL CLAY PARKS&REC PO NUMBER MC003057 1411 E 116TH ST PROJECT/JOB: MC003057 CARMEL IN 46032-7611 REQUISITIONER: DAWN CALLER: DAWN KOEPPER CUSTOMER PHONE: 3175734026 ORDER/DELIVERY#: 6199062004 ]NCO TERMS: FOB ORIGIN BILL TO CARMEL CLAY PARKS&RECREATIONS ADMINISTRATIVE OFFICE 1411 E 116TH ST CARMEL IN 46032 THANK YOU! FEI NUMBER 36.1150280 FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317-842-2497 PO ITEM# DESCRIPTION QUANTITY BACK UNIT PRICE TOTAL LINE# ORDERED 41NT47 FAN,105 CFM,115 V 2 28.08 56.16 MANUFACTURER#4WT47 Purchase Description C 1 � P.O.# P or F G.L.# MC 20 2 25-7 Budget Line Descr Purchaser( •i� Date Approval Date NUMBER OF PKGS: WEIGHT:2.700 INVOICE SUB TOTAL 56.16 DATE SHIPPED:06/13/2012 CARRIER: TRACKING NO: These items are sold for domestic consumption in the United States.If exported,purchaser assumes full responsibility for compliance with US export controls. PAYMENT TERMS Net 30 days -PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $56.16 PAGE 1 GRAINGER ORIGINAL INVOICE III0 •. 2 N <: :.. ; 847517521 GRAINGER ACCOUNT NUMBER 8211 BAVARIA ROAD INVOICE NUMBER 9857679527 MACEDONIA,OH 44056-2259 06/20/2012 www,grainger.com INVOICE DATE CE� DUE DATE 07/20/2012 , AMOUNT DUE $205.75 SHIP TO i I I ATTN:MATTHEW JUN 212012 j PO NUMBER MC003018 MONON CENTER 1235 Central Park Dr E PROJECT/JOB: MC003018 Carmel IN 46032 REQUISITIONER: MATTHEW �:" _:..,-— _ CALLER: DAWN KOEPPER CUSTOMER PHONE: 3175734026 ORDER/DELIVERY#: 6199662929 INCO TERMS: FOB ORIGIN BILL TO CARMEL CLAY PARKS&RECREATIONS ADMINISTRATIVE OFFICE 1411 E 116TH ST CARMEL IN 46032 THANK YOU! FEI NUMBER 36-1150280 FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 877-202-2594 PO ITEM# DESCRIPTION QUANTITY BACK UNIT PRICE TOTAL LINE#I ORDERED 1 5UTJ2 CART,SERVICE-37.5 X 26,CHARCOAL 1 186.98 186.98 MANUFACTURER#5UTJ2 2 6JD75 COMBINATION CABLE LOCK,5 FT. L,2 IN.W 1 18.77 18.77 MANUFACTURER#8119DPF Purchase ()�� C^scriFticrl..(.�l7t- P.O.#( )0-01 _ PQ► Fi� G.L.#_ 1'093 - L4238000 �t )mOI9L�o�s I_;ie titesc Pu chaser Date Approval_ Date NUMBER OF PKGS: WEIGHT:53.450 INVOICE SUB TOTAL 205.75 DATE SHIPPED:06/20/2012 CARRIER:UPS GROUND TRACKING NO:1Z3018W70337574220 1Z3018W70337576371 These items are sold for domestic consumption in the United States.If exported,purchaser assumes full responsibility for compliance with US export controls. PAYMENT TERMS Net 30 days -PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $205.75 P GRAINGER.,♦ 1 ORIGINAL INVOICE GRAINGER ACCOUNT NUMBER 847517521 8211 BAVARIA ROAD 9859057029 MACEDONIA,OH 44056-2259 INVOICE NUMBER www.grainger.com 7JUN g� INVOICE DATE 06/21/2012 g.77', DUE DATE 07/21/2012 AMOUNT DUE $261.16 SHIP TO 2 2012 A TTN:COURTNEY CARMEL CLAY PARKS AND R C PO NUMBER 30976 1427 E 116th St II PROJECT/JOB: M000756 Lay:Carmel IN 46032 �S_. ( REQUISITIONER: M000756 -- — --«JJ CALLER: DAWN KOEPPER CUSTOMER PHONE: 3175734026 ORDER/DELIVERY#: 6199647678 ]NCO TERMS: FOB ORIGIN BILL TO CARMEL CLAY PARKS&RECREATIONS ADMINISTRATIVE OFFICE 1411 E 116TH ST CARMEL IN 46032 THANK YOU! FE(NUMBER 36-1150280 FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 877-2172-25594 PO ITEM# DESCRIPTION QUANTITY BACK UNIT PRICE TOTAL LINE# ORDERED 4HK65 REPELLENT,INSECT,6 07_ 6 4.51 27.06 MANUFACTURER#CB018425 2 9WH55 INDUSTRIAL SUNSCREEN,LOTION,SPF30,1-GAL 1 162.00 162.00 MANUFACTURER#ICIS-GAL-30 1RL59 GLOVE,NITRI LE,POWDER FREE,BLUE,XL,PK100 10 7.21 72.10 MANUFACTURER#92-675 Purchase Description a nw\&,9 := � P.O.# .�0�+7� Po Frn�-y� G.L.# Ila5 -�-o I -�I23 C Budget o i' L� Line Desc Purchaser Approval 7 '�- NUMBER OF PKGS: WEIGHT:23.230 INVOICE SUB TOTAL 261.16 DATE SHIPPED:06121/2012 CARRIER:UPS GROUND TRACKING NO:1Z3018W70337644270 1Z3018W70337656365 These items are sold for domestic consumption in the United States.If exported,purchaser assumes full responsibility for compliance with US export controls. PAYMENT TERMS Net 30 days-PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $261.16 PAGE 1 GRAIN- ONE, ORIGINAL INVOICE GRAINGER ACCOUNT NUMBER 847517521 401 S.WRIGHT ROAD 9861212158 JANESVILLE,WI 53546 INVOICE NUMBER www.grainger.com INVOICE DATE 06/25/2012 DUE DATE 07/25/2012 AMOUNT DUE $765.92 SHIP TO ATTN:NO DEL AFTER 3:00 PM _ CARMEL CLAY PARKS AND REC PO NUMBER 30987 1427 E 116th St PROJECT/JOB: M000768 Carmel IN 46032 REQUISITIONER: M000768 JUN 2 6 2012 CUSTOMER PHONE: 331 75 340 26PPER ORDER/DELIVERY#: 62000 88383 INGO TERMS: FOB ORIGIN BILL TO CARMEL CLAY PARKS&RECREATIONS ADMINISTRATIVE OFFICE 1411 E 116TH ST CARMEL IN 46032 THANK YOU! FEI NUMBER 36-1150280 FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 877-202-25594 PO ITEM# DESCRIPTION QUANTITY BACK UNIT PRICE TOTAL LINE# ORDERED 1 8NKC5__- DOG LITER BAGS,BROWN.PK20 4 191.48 765.92 MANUFACTURER#1402-20 Do�jouie Imo} Liter Lc k-iptEon .. „r Date Date NUMBER OF PKGS: WEIGHT:93.000 INVOICE SUB TOTAL 765.92 DATE SHIPPED:06/25/2012 CARRIER:UPS GROUND/NO SAME DAY SERVI TRACKING NO: These items are sold for domestic consumption in the United States.If exported,purchaser assumes full responsibility for compliance with US export controls. PAYMENT TERMS Net 30 days-PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $765.92 GRAIN . PAGE 1 ORIGINAL INVOICE I ®®,... . .••.' < a; - ,.n 847517521 GRAINGER ACCOUNT NUMBER 455 KNIGHTSBRIDGE PKWY 9861929892 LINCOLNSHIRE,IL 60069-3614 INVOICE NUMBER www.grainger.com jt,;� �J�iw� INVOICE DATE 06/26/2012 DUE DATE 07/26/2012 SHIP TO JUN 2 7 2012 AMOUNT DUE 8115.24 ATTN:DAWN KOEPPER CARMEL CLAY PARKS&REC PO NUMBER MCD03064 1235 CENTRAL PARK DR EAST PROJECT/JOB: SOURCING CARMEL IN 46032-4421 REQUISITIONER: DAWN KOEPPER CALLER: DAWN KOEPPER CUSTOMER PHONE: 3178487275 INCO TERMS: FOB ORIGIN BILL TO CARMEL CLAY PARKS&RECREATIONS ADMINISTRATIVE OFFICE 1411 E 116TH ST CARMEL IN 46032 THANK YOU! FEI NUMBER 36-1150280 FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 877-202-2594 PO ITEM# DESCRIPTION QUANTITY BACK UNIT PRICE TOTAL LINE# ORDERED 0 42353950 SLIDE ASSEMBLY 4 28.81 11524 MANUFACTURER#20204 urchase 5 ide As ml�t ies escription o.# MPLID500H P udget 'ne Descr urchaser Date pproval Date NUMBER OF PKGS: WEIGHT:0.000 INVOICE SUB TOTAL 115.24 DATE SHIPPED: CARRIER:UPS GROUND TRACKING NO: These items are sold for domestic consumption in the United States.If exported,purchaser assumes full responsibility for compliance with US export controls. PAYMENT TERMS Net 30 days-PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $115.24 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 319510 Grainger Terms Dept 847517521 Date Due Palatine, IL 60038-0001 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 6/13/12 9852202747 Cooling fans $ 56.16 6/20/12 9857679527 Cart for facilities use $ 205.75 6/21/12 9859057029 Maintenance supplies 30976 $ 261.16 6/25/12 9861212/58 Doggie pot litter bags 30987 $ 765.92 6/26/12 9861929892 Slide assemblies $ 115.24 Total $ 1,404.23 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. 319510 Grainger Allowed 20 Dept 847517521 Palatine, IL 60038-0001 In Sum of$ $ 1,404.23 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund / 109 Monon Center PO#or INVOICE NO. CCT#/TITLE AMOUNT Board Members Dept# 1 093 9852202747 4350100 $ 56.16 1 hereby certify that the attached invoice(s), or 1093 9857679527 4238000 $ 205.75 bill(s) is (are)true and correct and that the 1125 9859057029 4238900 $ 261.16 materials or services itemized thereon for 1125 9861212158 4238900 $ 765.92 which charge is made were ordered and 1093 9861929892 4350100 $ 115.24 received except 12-Jul 2012 Signature $ 1,404.23 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund PAGE 1 OF 1 l i®® GRAINGER ACCOUNT NUMBER 854052172 INVOICE NUMBER 9864645289 9210 CORPORATION DR. INVOICE DATE 06/28/2012 INDIANAPOLIS, IN 46256-1017 DUE DATE 07/28/2012 www.grainger.com AMOUNT DUE 30.28 SHIP TO CARMEL WATER UTILITIES PO NUMBER: WILL BRING PO 3450 W 131ST ST CALLER: GREG HOLLANDER CARMEL, IN 46074-8267 CUSTOMER PHONE: (317) 733-2555 ORDER/DELIVERY#:6200312630 INCO TERMS: FOB ORIGIN BILL TO MDG2010 00032302 1 MB 0404 CARMEL WATER UTILITIES ) 3450 W 131ST ST CARMEL, IN 46074-8267 THANK YOU! ( ,e7 FEI NUMBER 36-1150280 \v� FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 317-842-2497 5C444 FILTER,ROLL,24X10FTX1 1 30.28 30.28 MANUFACTURER# 5C444 �k�k NUMBER OF PKGS 0 WEIGHT 3 80 INVOICE SUB TOTAL 3028 DATE SHIPPED.06/28/2012 These items are sold for-domestic cons umpt on iii the United States If axporied,purchaser assw nes full — responsibility for compliance with US export controls PAYMENT TERMS NET 30 DAYS PAY THIS INVOICE NO STATEMENT SENT.PAYABLE IN U.S DOLLARS AMOUNT DUE 30.28 ........................................ ................................ ................................--...............-................................................ GRAINGER STANDARD TERMS AND CONDITIONS A. SUB PM PAY 4. Warranty Product Return. t. WWMN Only. 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WARANNOMISLAIMER. Assa,W smyn WWA N low MWM W Q mummu A sews 4 xWom&WWI Mat Nil 0,"jiCT EYPRFS"Oit WP�HD 10T!-,"�R THAN r,,�SP F MRIH;N 1.tIP:LIM'Ftf-) nnnaWiI sUenlent so,t, tee_-r Rry fdkw.ex�ehs-s fin,IrM,,nihha Rn,,acaon�oi Ulraatned 1ANUAMR 11-ANS ARNNG NT OF PROD(jhl, M1,111-oE I'llp"If-PER. SELEh';Oij Mr�$OPFP !I61AUATHW, W;03,1,,'A,t Of,' -,'GCI 3 caaMttaiiirp- ,.Ml i;,I)ifr)Rr", y �G!�- 4, Promuct Return. b swum MQ,B 5) ARRAT15 TO THYS! INVID A CHIA, A ON NWA moo?w•A M63 w4i C�n�t 11 yo�lfj�dis ACT �aIl th,,iosai Gainge� eldno,co Tt� r,w," 3, .IMITATION OIFLIABILITY. C nNnUR APROSIA MRAUS VA JOUR FOR CIASEMENTAL NIUDMI"AL SPECIAL,-XEMPLAk". F. EXPORT SALES 0 KA AMOR GINNOR S UAIDA :N A&CIROMPLICE9 6 AWAD TA AD MAU NOT Did-in" 0 do spa awasn MO uww jamucm,numhannadnMUng, P�,�PAIDaiq 7fjFF.,n1jUi"Trig UsV::S RISE 10-,CI LIABlIT( in Me Jeon al ow Me VOUCHER # 121420 WARRANT # ALLOWED 351533 IN SUM OF $ GRAINGER, INC DEPT 804572097 PALATINE, IL 60038-0001 Carmel Water Utility I ON ACCOUNT OF APPROPRIATION FOR Board members PO # INV# ACCT# AMOUNT Audit Trail Code 9864645289 01-6200-06 $30.28 i, Voucher Total $30.28 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 351533 GRAINGER, INC Purchase Order No. DEPT 804572097 Terms PALATINE, IL 60038-0001 Due Date 7/9/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/9/2012 9864645289 $30.28 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 Date Officer PAGE 1 OF 1 GRAINGER ACCOUNT NUMBER 813555497 INVOICE NUMBER 9865628995 8211 BAVARIA ROAD INVOICE DATE 06/29/2012 MACEDONIA, OH 44056-2259 DUE DATE 07/29/2012 = www.grainger.com AMOUNT DUE 74.97 SHIP TO CARMEL WASTEWATER PO NUMBER: JEFF COOPER 9609 HAZEL DELL PKWY CALLER: JEFF COOPER ®_ INDIANAPOLIS, IN 46280-2935 CUSTOMER PHONE: (317) 571-2634 ORDER/DELIVERY#: 6200608210 =_ INCO TERMS: FOB ORIGIN _ BILL TO MDG2010 00028811 1 MB 0404 " III'I.��I�I�"�I'III'I�I�'II�Iil�ll'�III'�'I'�IIIIII�I'll'llll ®, CARMEL WASTEWATER UTILITY 760 3RD AVE SW STE 110 N e STE110 —_ CARMEL, IN 46032-2070 THANK YOU! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-877-202-2594 e o o o 3KO91 MOTOR,1/4 HP,60HZ,BELT 1 74.97 74.97 MANUFACTURER # 3KO91 NUMBER OF PKGS 0 WEIGHT 15 93 INVOICE SUB TOTAL 74 97 DATE SHIPPED 06/29/2012 CARRIER:UPS GROUND TRACKING NO. iZ3018W70338121734 These items are sold for domestic consumption in the United States. If exported,purchaser assumes full responsibility for compliance with US export controls PAYMENT TERMS NET 30 DAYS PAY THIS INVOICE NO STATEMENT SENT PAYABLE IN U S DOLLARS AMOUNT DUE 74.97 VOUCHER # 125262 WARRANT # ALLOWED 351533 IN SUM OF $ GRAINGER INC DEPT. 804572097 PALATINE, IL 60038-0001 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 9865628995 01-7202-06 $74.97 Voucher Total $74.97 Cost distribution ledger classification if claim paid under vehicle highway fund 4 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 351533 GRAINGER INC Purchase Order No. DEPT. 804572097 Terms PALATINE, IL 60038-0001 Due Date 7/9/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/9/2012 9865628995 $74.97 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 Date Officer PAGE 1 OF 1 � 111®� ® GRAINGER ACCOUNT NUMBER 828921643 INVOICE NUMBER 9872301487 440 3RD AVENUE INVOICE DATE 07/10/2012 HUNTINGTON, WV 25701-1305 DUE DATE 08/09/2012 www.grainger.com AMOUNT DUE 32.97 SHIP TO BROOKSHIRE GOLF CLUB PO NUMBER: RUSSELL 12120 BROOKSHIRE PWY CALLER: RUSSELL MILLER CARMEL, IN 46033-3314 CUSTOMER PHONE: (317)650-0111 ORDER/DELIVERY#: 6201333078 INCO TERMS: FOB ORIGIN = BILL TO MDG2010 00037037 1 FP 0424 _ BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PWY x CARMEL, IN 46033-3314 THANK YOU! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 304-523-4231 -- — — - — • • 0 • 4PY25 BEARING, 5/8 IN BORE 1 28.35 28.35 MANUFACTURER #4PY25 NUMBER OF PKGS:1 WEIGHT 0 70 INVOICE SUB TOTAL 28.35 DATE SHIPPED:07/10/2012 SHIPPING CHARGE 4.62 CARRIER:UPS GROUND TRACKING NO 1 Z2A001 X0390038031 These items are sold For domestic conswnpuon in the United States If exported,purchaser assumes full responsibility for compliance with US export controls PAYMENT TERMS NET 30 DAYS PAY THIS INVOICE NO STATEMENT SENT PAYABLE IN U S DOLLARS. AMOUNT DUE 32.97 PAGE 1 OF 1 e ZRAINGE.R. GRAINGER ACCOUNT NUMBER 828921643 iIH INVOICE NUMBER 9872301479 8188 TOM DR INVOICE DATE 07/10/2012 BATON ROUGE, LA 70815-8046 DUE DATE 08/09/2012 www.grainger.com AMOUNT DUE 32.96 SHIP TO BROOKSHIRE GOLF CLUB PO NUMBER: RUSSELL 12120 BROOKSHIRE PWY CALLER: RUSSELL MILLER CARMEL, IN 46033-3314 CUSTOMER PHONE: (317) 650-0111 ORDER/DELIVERY#: 6201333051 — INCO TERMS: FOB ORIGIN BILL TO MDG2010 00037037 1 FP 0424 BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PWY CARMEL, IN 46033-3314 THANK YOU! FEI NUMBER 36-1150280 FOR ANY QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 225-923-0215 _ e e e e 4PY25 BEARING, 5/8 IN BORE 1 28.35 28.35 MANUFACTURER#4PY25 NUMBER OF PKGS:1 WEIGHT:0.70 INVOICE SUB TOTAL 28.35 DATE SHIPPED:07/10/2012 SHIPPING CHARGE 461 CARRIER:UPS GROUND TRACKING NO:1Z7012840390315981 These items are sold for-domestic consumption in the United States If exported,purchaser assumes full — - responsibility for compliance with US export controls PAYMENT TERMS NET 30 DAYS PAY THIS INVOICE NO STATEMENT SENT PAYABLE IN U S.DOLLARS AMOUNT DUE 32.96 VOUCHER NO. WARRANT NO. ALLOWED 20 Grainger IN SUM OF $ Dept: 828921643 Palatine, IL 60038-0001 $65.93 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 9872301479 43-500.00 $32.96 1 hereby certify that the attached invoice(s), or 1207 9872301487 43-500.00 $32.97 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, July 16, 2012 A Director, Brookshire 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)) 07/10/12 9872301479 Bearings $32.96 07/10/12 9872301487 Bearings $32.97 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