217790 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 362834 Page 1 of 1
ONE CIVIC SQUARE R&R PRODUCTS INC
CHECK AMOUNT: $61.40
CARMEL, INDIANA 46032 3334 E MILBER ST
o� TUCSON AZ 85714 CHECK NUMBER: 217790
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 CD144682 61 . 40 EQUIPMENT REPAIRS & M
R&R PRODUCTS, INC. Invoice Invoice Number Invoice Date Total Invoice Amount
3334 East Milber Street CD1644682 2/8/13 $61.40
R� Tucson,AZ 85714 ORIGINAL
Prod PH(520)889 3593 e Order Number Due Date Customer Number
Pa 1 of 1
FAX(520)294 1045 9 R842895 3/10/13 46032B
Purchase Order Number Order Received Terms of Payment Terms of Delivery Ship Via
RUSSEL 1/28/13 30 Days Net DELIVERED FED EX 2 DAY
Invoice Address Delivery Address
BROOKSHIRE GOLF CLUB R BROOKSHIRE GOLF CLUB R
ATTN: GOLF COURSE MAINTENANCE ATTN: GOLF COURSE MAINTENANCE
12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY
CARMEL IN 46032 CARMEL IN 46032
Line Part Number Description Quantity Unit Unit Price Discount Price Total
1 R108-9017 Bearing-Stainless 4.00 EA 15.35 0% 61.40
Sub Total, before charges 61.40
Sub Total, before tax 61.40
You can also pay your invoice using your credit card. Total Tax 0.00
We accept Visa, Mastercard, American Express and Discover. Total Invoice Amount 61.40
For details, please call Customer Service at 800-528-3446
All past due invoices are charged 2%interest per month,24%per annum.All invoices are considered past due after 30 days.Statements are only provided for past due accounts.
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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))
02/08/13 CD144682 Repair Parts $61.40
I 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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20__
R & R Products, Inc. IN SUM OF $
3334 E. Milber Street
Tucson, AZ 85714
$61.40
I
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept Board Members INVOICE NO. ACCT#/TITLE AMOUNT it
1207 I CD144682 I 43 500.00 I $61.40 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
I
which charge is made were ordered and
received except
Tuesday, February 12, 2013
_Z10 I
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund