214299 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
`O ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA PCK AMOUNT: $81.49
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
'w�icn afro CHICAGO IL 60693 CHECK NUMBER: 214299
CHECK DATE: 11/712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 81 .49 EQUIPMENT REPAIRS & M
0 Control No. 15533995
RAW
0® CARMEL. NAPA
1441,E GIILa�ORD AU[ STE 140 Y OCR y REM I T e GPI(-* I NL�
Rff B ► 10IN�+ " r'( R rF 4 R BY _ �` 3 C CL LE�:
cA>~,NEL, 46032-29222 c;H1CPC, „,�I:sr
� ..t�.,�
1000060179540167 BYCEIVED X y, ,.y b
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT.NO. SOLD TO DATE o STORE NO. EMP SR
85- L:)L")1.8-8 CITY OF' CPF�ihl-L.iBF?CIOC'.SHI :. 11101 /c2`0 C. 854()'► 8 L)E;L)1 " 1 iii
I. civic {3 is! 1 O f 1. TIME I PURCHASE ORDER NO. ATTENTION
CPRME:L, IN 4601"]"P2.- 2584 ME- 3-15:42 14- 42 Batter- Flu sae17.
INVOICE TYPE
p i i
L:,,.J. i. v e r- C ha-,- q e Sr?.I e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. L_)i i 8570 NF-I1.. BAJ*-RER'Y :L'i8. 3 i 81 � 4900 8:1. 49
1.. i iL i 61-1 L i BAT* Core Deposit 12. C ii i 1 2. 00"(K) 1. o0 �
1. 00 657C.) BtA i� Core Deposit 1 L_. L:)i i 1 i)i)i)i) 12. L:)t i C F? L)
__ TOTAL
81. 491A&.01 t'_)„ L)L) 7, 0 }i)( TAX L.!. !1L_) TOTAL
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))
11/01/12 854018 Repair Parts $81.49
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
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$81.49
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 854018 I 43-500.00 I $81.49 I 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, November 02, 2012
�J
Dire( hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund