216407 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
` ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP_%CK AMOUNT: $93.99
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 216407
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 93 . 99 EQUIPMENT REPAIRS & M
100006017 — — -�
CARMEL NAPA Time: 08:21 Invoice Number 860943
1441 S GUILFORD AVE STE 140
INAPAf _
® REF BY_ VER BY Date: 01/04/2013
,� -- CARMEL, IN 46032-2922
° (317) 844-3973 Page: 1/1
1898 Employee: 4 Chris
® CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 PHIL Y Y
1 CIVIC SQ Accounting Day: 4 OCR '
® CARMEL, IN 46032-2584
1000060178609434
* Part�N ;r li•rne ,, ., scr-iptron iQuant , y Pr1Ce,.„ Net Natal, n
M3432 ;NMC BRAKE MASTER CYLINDER 1.00 149.-80 93.9900 93.99, '
_ Delivery: Subtotal 93..99
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption: '
PO#: Shop
Terms: NET 10
_- _ _ J g�: Total. ,..4' 93 99 .6.
a
Charge Sale,. 93.99'
' Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE -
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. '60693 CUSTOMER COPY
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))
01/04/13 I 860943 I Repair Parts I $93.99
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 nab/
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$93.99
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
65-0 ( �9 �
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 860943 I 43-500.00 I $93.99 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
Director, Brookshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund