216945 01/30/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP_%CK AMOUNT: $59.98
s` r CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 216945
CHECK DATE: 1/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 59. 98 863496
100006017
'CARMEL NAPA ! Time: 13:48 Invoice Number 863496,1
1f 1441 S GUILFORD AVE STE 130
A PA[ AUIV P REF BY_ VER BY _ Date: 01/24/2013
CARMEL, IN 46032-2922 i
(317) 844-3973 Page: 1/1
1898 Employee 36 'IGE
CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 PHIL Y Y
1 CIVIC SQ ? OCR
®
CARMEL, IN 46032-2584 Accounting Day: 24
1000060178634969 E1
h Part Nmber r;,Lne De'scr tion" uantt Price >' Net otal % ,'•
__. _p. a4- i r_
735-6213 jNOE TAILGATE HANDLE 1. J 66.721 41.9900 41.99 i
774014 ISER iBATTEP.Y CARRIER TOOL I 1.. 0 ?2.66~• 17.9900= 17.99
i
Delivery: Subtotal 59.98
Attention: I-•uiana Sales Tax 7.00004 0.00 f
Tax Exemption:
I
PO#: , f
Terms: NET 10 ! f
TotaT
Charge Sale 59.98
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE I J
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))
01/24/13 863496 Repair Parts $59.98
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
$59.98
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 ! 863496 1 43-500.00 I $59.98 1 hereby certify that the attached invoice(s), or
I I 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 28, 2013
f
Director, Brookshy Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund