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217639 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP_CHECK AMOUNT: $129.15 .o CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 217639 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 100006017 129 . 15 EQUIPMENT REPAIRS & M 100006017 CARMEL NAPA Time: 12 voice Number 8656731 1441 S GUILFORD AVE STE 140 �ll AAPAI � REF BY_ VER BY Date: 02/11/2013 CARMEL, IN 46032-2922 © (317) 844-3973 Page: 1/1 1898 Employee: 1 Duane Y Y CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 PHIL :1 1 CIVIC SQ Accounting Day: 11 _ OCR s CARMEL, IN 46032-2584 - -------°� - °'v---"""°"'°"""" "` ""` 1000060178656739 ; :�,.. `:`'Par E-:Number Line Descri.ptiori;, Quantibys Price: Nets :°` T6Ea1 M"a 7222 r µyNGK Spark Plug - Standard Nickel 4.00 7.30 4.2900 17.16 { a P __...Delivery: Our Truck NE" 3-13:53 _ Subtotal 17:16 Attention: ( Indiana Sales Tax 7.0000% 0.00 Tax Exemption: € PO#: NGK Terms: NET 10 _ T 0 a, - . ;°•?-r.;' ."'.sip; -:�;a:� .':';' ro-^-•:�.'�:., '^.� .^r- Charge. Sale 17.16 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ' REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 CARMEL NAPA Time: 13:01 Invoice Number 865991; ® 1441 S GUILFORD AVE STE 140 r ®T t INAPAf LAHJ REF BY VER BY _ Date: 02/13/2013 CARMEL, IN 46032-2922 o (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: 13 OCR ® CARMEL, IN 46032-2584 1 O O_ _ _._. _.._.... 0060178659914 Park Number ,iLine: Description,, Quantity Price Net ;', TOtal '. ;:•`, 7578 3BAT jBATTERY 1.00 130.93 99.9900 99.99 7578 BAT Icore Deposit 1.001 12.00 12.0000• 12.00 D t Delivery: Subtotal 111.99 Attention: Indiana Sales Tax 7.0000 0.00 Tax Exemption: PO#: Shop Terms: NET 10 _. ;. Tota>1;;' :111:.:99 Charge Sale" 111.99 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY VOUCHER NO. WARRANT NO. ALLOWED 20 GPC-IND IN SUM OF $ 5959 Collection Ctr. Drive Chicago, IL 60693 $129.15 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 j 865673 43-500.00 $17.16 1 hereby certify that the attached invoice(s), or 1207 865991 43-500.00 $111.99 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 Thursday, February 21, 2013 z-vt� / Director, Brook ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 02/11/13 865673 Repair Parts $17.16 02/13/13 865991 Repair Parts $111.99 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