216367 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 051000 Page 1 of 1
ONE CIVIC SQUARE CARMEL WELDING&SUPP INC CHECK AMOUNT: $6.49
CARMEL, INDIANA 46032 550 S.RANGELINE RD
N�;r CARMEL IN 46032 CHECK NUMBER: 216367
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 341102 6 .49 EQUIPMENT REPAIRS & M
D
1/07/13
I4E
TIME CARMEL WELDING AND SUPPLY 341102
9 : 33 : 40 550 South Rangeline Road I
-- SALESMAN Carmel , Indiana 46032 I
007/007 317-846-3493 www. CarmelWelding . com WORK RDE
1 I
Terminal 16 1 of 1
846-7431
7 -
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
CITY OF CARMEL- -ATN P . BLOCKUMS CITY OF CARMEL- -ATN P. BLOCKUMS
12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 CARMEL, IN 46033
Tax Exemption r : 0031201550-0
WWW.CARMELWELDING.COM-----Plese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
charge. Dio return on electrical or special orders
ORD SHIP B 0 INE PART NUMBER
DESCRIPTION LIST NET
1 1 STI1125-640-1900 AMOUNT
TENSIONED, SLIDE
6 .49 6.49
CHARGE SALE SUB TOTAL _ ___j 6 . 49
MISC 0 . 00
LABOR - - - - - - - -> 0 . 00
Signature TAX 7 . 000 - - -> 0 . 00
INVOICE TOTAL-> 6 . 49
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))
01/07/13 341102 Repair Parts $6.49
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
Carmel Welding
IN SUM OF $
550 S. Rangleline Road
Carmel, IN 46032
$6.49
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 341102 I 43-500.00 I $6.49 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
Monday, January 14, 2013
J
Director, Brookshir holf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund