213925 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA PCK AMOUNT: $49.64
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 213925
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 36 . 95 851240
1207 4350000 08501898 12 . 69 851948
Control No. 15540056
RAW
,��e CA131YIEL NAP:n
1441 S GUILFORD AVE LSTE 140 Y DC Y R E I'll I T 6 P C 1\11 D
C,T
R9 BY VER BY 5959 COLYZCT Cc
CARNE�7114 4032--M-22 0 .L° ........
1000060178512403 BY x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE MgNgM STORE NO. EMP SR
85- 00 1898 CITY OF CARIyIEL/' ROOKSI-41. 1 0 q C)1 A 51 4 A F.01 7 1
I civic 13 Gi I of I. TIME PURCHASE ORDER NO. ATTENTION
CARMEL. -(")-7
IN 46( 32-2584 FE- 31-13,07 INVOICE TYPE
gg
QUANTITY
PART NUMBER LINE DESCRIPTION PRICE NET TOTAL-- CODE
2.-00 4411 LMP BLILB 1.5. s8 10. 99C)
i8 4. 9 o
3. 0 BID 12 5 H.3 LIYIP AM BLLB 1.4. 97
7
SUB -)o TAX TOTAL
TOTAL E,. 9
Control No. 15540890
RAW
��e CAl"'MEL h1APA
r 41
1441 S GUILFORD AVE STE 140 Y OCR y R E 1Y11-1": E-3 PC 'd fi
W BY VEO. BY 5959 CID c c, 11.
CAM, IN 4032-292T" cf-11CAG I L
By
10000001 7851 9488 RE NED X
ALL_GOODS R TURNED MUS BE kNIED BY THIS INVOICE
ACCT NO. ----,--S0W TO DATE STORE NO. EMP SR
15/2" . 4 s
85--.00 1.a9a CITY OF:' CP)RIIIEL/lBROOKSH) -)1.2 18 5 19 8 -)17 3E, I()
1. CIVIC 6G). I Cl f 1. TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 4E-,03c`-,--2584
15) INVOICE NPE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL - CODE
1. O 3L,31310W NBH FHP PXPATED BE I E, 28 12. 6 9 0 0 12. E,9
SUB I i:�. cn,) cl, -U"C)1 0
121. 64�
TOTAL TAX TOTAL
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$49.64
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
'0�� b-1A-%X —
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 851240 I 43-500.00 I $36.95 1 hereby certify that the attached invoice(s), or
1207 I 851948 I 43-500.00 I $12.69 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, October 22, 2012
Director, Brookshire d#If 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))
10/09/12 851240 Repair Parts $36.95
10/15/12 I 851948 I Repair Parts I $12.69
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