211741 08/14/2012 ". CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P%
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CFIECK AMOUNT: $54.58
CHICAGO IL 60693 CHECK NUMBER: 211741
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 -12 . 69 835631
1207 4350000 08501898 -6 . 00 838767
1207 4350000 08501898 73 . 27 843402
QaapaD Control No. 5749251
CARMEL NAPn
1441 9 GUILF00 AVE GTE 140 Y OC R y REM I T-GPC-I ND
U BY VER BY 595c.4 COLLECTION C•TR. DR.
COME, IN 4#32-B22 CNIEBA90 ILL. 6OW-33
BY
1000060178356313 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE oo STORE NO. EMP SR
r
1.89 8 CITY OF-" CARMEL 1:'BROOKSH I WMEj' L-PUhf-'l-fA-5 F4 ER ikl�' ATTENTiON-L
I civic S C! 1. of 1
CARMEL, IN 46c)-*',2-• 2584 t2-41 INVOICE PE
"WANTITY PART NUMBER LINE DESCRIPTION PRICE NET LTbTAV J' I' """MDE
0 N JTI F 1 12'. E,9 CR
2411 NIAT %q1W1 2DPEPT24 14. 90 1'- --Sk i
This item was purchased on invoice # 83,5556
SUB
TOTAL fs,) o 1 1. 0,-)0 OTA%X (-)E) TOTAL
-If�:% Ell CR
- ' -
oonlmlm� � �r} � � F1�
IOAK � � U^t �W�
�---/� CARMEL NAPA
`
1441 S 0 l0 Y OCR Y REMIT:GPC—IND
REF BY NER BY 5959 COLLECTION CTR. DR.
08�+ lN4�K-��__ C 60693
1000060178387673 BY x ALL GOODS RETURNED MUST as ACCOMPANIED o,THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. EMP SR-
A-5-00 1898 CITY Of:' CARMEL./BROOKSHI 0-7/02/2()12 18--3-8767 6017 .36 110
i CIVIC. so. I of I TIME PURCHASE ORDER NO. ATTENTION
CARMEL-, IN' 46032-2584 f-6=Til*T
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
This it(?,n was purchased on invoice # 8138"755 o-7/02/,2 Q 1 12,
P
Control No- 7 3 4 2 3 03 1
Cf-IRMEL NAPfl
1441 S GUILFORD AVE STE 140 Y OCR y REIYII-[':CPC.- '1\113
REF BY VER BY 5959 COL -C'T R.
mm, IN 46432-e.ce, CFA
1000060178434024 BY x
ALL GOODS ETURNED MU T BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE 0 CQO STORE NO. EMP SR
85-00 18198 CI'T'Y OF CARMEL/BROOKSHI 9/(-)'7/20J.2 1843402 4017 1 1. 11c)
I civic 1�30 1 of I TIME PURCHASE ORDER NO. ATTENTION
CARMIEL, INI 46(--)32:.,-2584 NE-- 3-12:35 R. It
(17) T `651(dmt TYPE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE.
2. ()C) 10020 L U C LUCAS FUEL TREAT S. 7L, 6. 9I►0 0 13. `--)8
7. 00 3o(-)1 I I.L flAPACOU FUEL F1 6. 82 3. 19 9()C) 27. 93
2. f)o 13o-7 F I L NAPASOLD OIL FIL 13. 46 99(i 0 1.5, 98
- -
2, 110 1,336 F I L WRGM OIL FIL 13. 16 7. 6900 15. 38
SUB r\
*/- �1 0. ()(-, TOTAL 73. 2�
TOTAL L/ 73. 27 J-MFROK�j 00 1 7. 000c) TAX I
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))
06/07/12 835631 Repair Parts ($12.69)
07/02/12 838767 Repair Parts ($6.00)
08/07/12 I 843402 I Repair Parts I $73.27
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$54.58
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
bl � �
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 835631 43-500.00 ($12.69) 1 hereby certify that the attached invoice(s), or
1207 838767 43-500.00 ($6.00) bill(s) is (are) true and correct and that the
1207 I 843402 I 43-500.00 I $73.27
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, August 10, 2012
Director, BrookshirVGolf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund