HomeMy WebLinkAbout214334 11/07/2012 CITY OF CARMEL, INDIANA VENDOR. 359984 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA GOLF CAR
CARMEL, INDIANA 46032 1770 B EAST 266TH STREET CHECK AMOUNT $299.00
ARCADIA IN 46030 CHECK NUMBER. 214334
CHECK DATE. 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 4569 299 00 EQUIPMENT REPAIRS & M
Indiana Golf Car, Inc. Invoice
1770 B E 266th
Date Invoice#
Arcadia, IN 46030
1012412012 4569
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL,IN 46033 CARMEL, IN 46033
P O Number Terms Rep Ship Via F 0 B Project
Net 30 10/24/2012
Quantity Item Code Description Price Each Amount
1 103327901 KIT,MCOR 128.80 128.80
1 103628701 SPRING ASM,FRONT, 1 LEAF 45.20 45.20
I SERVICE CALL SERVICE CALL 9500 9500
I REPAIR LABOR REPAIR LABOR 30.00 3000
Total $29900
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))
10/24/12 I 4569 I Repair Parts I $29900
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
Indiana Golf Car, Inc
IN SUM OF $
1770 B E 266th
Arcadia, IN 46030
$29900
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO ACCT#/TITLE AMOUNT Board Members
1207 I 4569 I 43-500 00 1 $299 00 1 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
Tuesday, October 30, 2012
Director, Brooksh e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund