218465 03/25/2013 �•,F CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA PpL�
CK AMOUNT: $45.95
5959 COLLECTIONS CENTER DRIVE CHE
y�io CARMEL, INDIANA 46032 CHICAGO IL 60693 CHECK NUMBER: 218465
CHECK DATE: 3/2512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 45 . 95 869537
100006017 - —
CARMEL NAPA Time: 10:11 Invoice Number - 869537
�� 1441 S GUILFORD AVE STE 140
CPI REF BY VER BY _ Date: 03/13/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
1898 Employee: 14 Anna
® CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 PHIL 7Y Y
1 CIVIC SQ ( Bq OCR
Accounting Day: 13 pp
®
CAMEL, IN 46032-2584
1000060178695377
��` sy * ? -....e lii:ne f• Descry t1.OYY� 6
� a ? r�� a Wiz. P �.' :Qu�antity ..Price �..: Net, °tal f _,
14400107 . FPW WELDING ROD w 1.00 55.78 29 9900E 29.99
1072 MAC MACS BATTERY CLEANER 2.00 5.32 3.9900] 7.98
1073 MAC {MAC BATTERY PROTECT 2.00 5.32 3.9900]3
7.98
}
Delivery: Our Truck NE- 3-11:11 -u--� Subtotal. 45.95
Attention: Indiana Sales Tax 7.0000%. 0.00
Tax Exemption:
PO#:
Terms:
Totem 1 ` �`y45 '
Charge Sale 45.95
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))
03/13/13 I 869537 I Repair Parts I $45.95
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
$45.95
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
15, -0 1 0e
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 869537 I 43-500.00 I $45.95 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
Thursday, March 21, 2013
Director, Bro shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund