HomeMy WebLinkAbout218895 04/09/2013 Page 1 of 1 VENDOR: 359984 Pa
�Mf CITY OF CARMEL, INDIANA g
ONE CIVIC SQUARE INDIANA GOLF CAR
i CHECK AMOUNT: $589.20
CARMEL, INDIANA 46032 1770 B EAST 266TH STREET
ARCADIA IN 46030 CHECK NUMBER: 218895
CHECK DATE: 41912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 2326 514 . 00 EQUIPMENT REPAIRS & M
1207 4350000 2331 29 . 20 EQUIPMENT REPAIRS & M
1207 4350000 2334 46 . 00 EQUIPMENT REPAIRS & M
Indiana Golf Car, Inc. Invoice
1770 B E 266th -
Arcadia, IN 46030 Date Invoice#
4/4/2013 2334
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL,IN 46033 CARMEL,IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
RUSSELL Net 30 4/4/2013
Quantity Item Code Description Price Each Amount
1 103781101 KIT,FUEL PUMP RETROFIT 46.00 46.00
Total i $46.00
Indiana Golf Car, Inc. Invoice
1770 B E 266th
Date Invoice#
Arcadia, IN 46030
4/4/2013 2331
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL,IN 46033 CARMEL,IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
RUSSELL Net 30 4/4/2013
Quantity Item Code Description Price Each Amount
1 102711201 ASM,VOLTAGE REGULATOR 29.20 29.20
Total $29.20 -
Indiana Golf Car, Inc. Invoice
1770 B E 266th
Date Invoice#
Arcadia, IN 46030
4/2/2013 2326
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL,IN 46033 CARMEL,IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
RUSSELL Net 30 4/2/2013
Quantity Item Code Description Price Each Amount
2 103528801 KIT,BRAKE CABLE,PREC UPGRADE 48.40 96.80
2 103628701 SPRING ASM,FRONT, 1 LEAF 45.20 90.40
1 103678502 ASM,ST/GEN,BI-ROT,KS,SVC 326.80 326.80
Total $514.00
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))
04/02/13 2326 Repair Parts $514.00
04/04/13 2334 Repair Parts $46.00
04/04/13 I 2331 I Repair Parts I $29.20
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
Indiana Golf Car, Inc.
IN SUM OF $
1770 B E 266th
Arcadia, IN 46030
$589.20
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 2326 43-500.00 $514.00 1 hereby certify that the attached invoice(s), or
1207 2334 43-500.00 $46.00 bill(s) is (are)true and correct and that the
1207 I 2331 I 43-500.00 $29.20
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, April 08, 2013
Director, Brook hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund