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218492 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1 ONE CIVIC SQUARE IBS OF INDIANAPOLIS CARMEL, INDIANA 46032 6648 E.21ST STREET CHECK AMOUNT: $13,999.00 INDIANAPOLIS IN 46219 CHECK NUMBER: 218492 CHECK DATE: 3/2512013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 20018 105877 13 , 999 . 00 GOLF CART BATTERIES IBS OF INDIANAPOLIS 6848 E 21 st St. ®�T'E�I'ST%i4�►7 E Page: I Indianapolis IN 46219 (317) 322- 1818 Invoice Nbr :105877 DEALER NBR. 3403 Location of Sale :WO 1 BROOKSHIRE GOLF COURSE Sales Person Name :DENNIS MCDANIEL 12120 BROOKSHIRE PKWY Sales Person Nbr :DM CARMEL IN 46033-3314 PO Number :20018 (317)846-7431 Date :03/13/2013 Payment Type: CHARGEACCOUI T Time :11:05:58 AM Type Qty Part Number/Desc Age Rate Price Amount Sale 100 12 VGCUTL 139.99 :13�999.00 00 Sales'Total Cores Charge/Credit 100 HVCORE Sub Total 18,999.00 Sub Total 18.999.00 Invoice"total 18,999.00 Invoice Payment Amount 0.00 Net Invoice $ 18,999.00 DEALER AGING *********************************************** Dealer Aging-Current Balance Total 18,999.00 0 to 30 days 18.999.00 31 to 60 days .00 61 to 90 days .00 91 days or more .00 Invoices 105877 18,999.00 999 PRINT NAME HERE SIGNATURE 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 105877 Batteries $13,999.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 IBS of Indianapolis IN SUM OF $ 6848 E. 21st Street Indianapolis, IN 46219 $13,999.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 20018 I 105877 I 43-500.00 I $13,999.00 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 14, 2013 Director, Brook ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund