219729 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-IN DIANA P
i`. CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CK AMOUNT: $213.91
CHICAGO IL 60693 CHECK NUMBER: 219729
CHECK DATE: 517/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 085-01898 69 . 94 471924
1207 4350000 085-01898 95 . 98 876137
1207 4350000 085-01898 47 . 99 876215
100006017 _...
CARMEL NAPA Time: 08:59 Invoice Number 876137
AUTO P 1441 S GUILFORD AVE STE 140
�
V AP REF BY_ VER BY Date: 04/30/2013 AHS CARMEL, IN 46032-2922
--,> (317) 844-3973 Page: 1/1
1898 Employee: 36 Tige
CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 PHIL Y Y [
1 CIVIC SQ Accounting Day: 30 OCR
® CARMEL, IN 46032-2584
1000060178761376
Part'NumberLine,_ q Description v Quantit O 'Prce47<u, Net 0_r ,, Total;.r se
M - I _
85 905 NHF PREM AW 32 HYD FL 5G 2 0 89. 5 47.99M 95.98
€
Delivery: Subtotal 95.98
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
,
Terms:
v
Charge Sale 95.98
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
I
100006017
CARMEL NAPA Time: 11:55 Invoice Number 8762151
t
A w1iffy® a 1441 S GUILFORD AVE STE 140 €
NAPA[ REF BY_ VER BY _ Date: 04/30/2013
CARMEL, IN 46032-2922 s
(317) 844-3973 Page: 1/1
1898 Employee: 36 Tige =
® CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 PHIL Y Y 1
1 CIVIC SQ Accounting Day: 30 OCR
m CARMEL, IN 46032-2584 j •°- "- --� " " """"' "' " "� •
a
1000060178762151
K; Part
Number, pL ne'• x tescriptign :' Quantity `,; 'Price j z,'IVet €€_ Total, M "
1.00 89.75 47-9900 ..,.: �47.99
85-905 ,NHF IPREM AW 32 HYD FL 5G !
I t 1 E I
3 3 d
i
i e
Delivery: Subtotal 47.99
t1 Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms-
€
3 •
y:
Charge Sale 47.99
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006273 _..._.. _. _-......- __._.._.
NAPA AUTO PARTS Time: 15:34 Invoice Number 471924
EPAI 7P. O. BOX M245 STREET Date: 05/02/2013 (II�IIIIIIIII�IIIII�I�I�II�IIIIIII�III�I;
0
WESTFIELD, IN 46074
(317) 896-5615 Page: 1/1
1898 Employee: 68 SCOTT
CITY OF CARMEL Sales Rep: 41 HOUSE
BROOKSHIRE GOLF CLUB Accounting Day: 2
c 12120 BROOKSHIRE PARKWAY -
CARMEL, IN 46033
s
Part,;Numberliine F Descrilit-iorir 4 ;QuaiitiEy ?Price Net,;
_.
H-151 'NBH :QUALITY HTR HOSE 32.00 3.29 1.5200 48.64
H-152 ?NBH QUALITY HTR HOSE 20.00 2.52; 1.0648- 21.30
t
Delivery: Subtotal 69.94
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms: No svc due 10th
KEEP COPY INV
Charge Sale 69.94
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
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))
04/30/13 876137 Repair Parts $95.98
04/30/13 876215 Repair Parts $47.99
05/02/13 I 471924 I Repair Parts I $69.94
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.
GPC-IND
ALLOWED 20
/
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$213.91
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 876137 43-500.00 $95.98 1 hereby certify that the attached invoice(s), or
1207 876215 43-500.00 $47.99 bill(s) is (are) true and correct and that the
1207 471924 I 43-500.00 I $69.94
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, May 03, 2013
7in-:I A ijA
Director, Broly,ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund