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220162 05/21/2013 ., CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 ` ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP% CARMEL, INDIANA 46032 CFTECK AMOUNT: $317.39 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 220162 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 085-01898 258 .45 878266 1207 4350000 085-01898 58 . 94 878493 100006017 CARMEL NAPA Time: 09:28 {{t-I,nvoice-Number 8,7-8,,49,31, AR® PAW � 1441 S GUILFORD AVE STE 140 { INAPAI © REF BY_ VER BY _ Date: 05/15/2013 CARMEL, IN 46032-2922 w (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: 15 € OCR ® CARMEL, IN 46032-2584 ® 1000060178784930 Part N Jt'he, }; ,Descriptions :-sd< r;-°'Quantityi-;;• `Pr cef °' 'Net Total` ?' G _.,_-;V." r:.�...._c.: «.,__:. ..,^. .-... �§.'..'.. �� �. I ...i.. 3472 ;FIL Fuel \Filter (Gold) �2.00� 32.481 19.4900. 38.98 7-04904 :SME ROPE-HANDLE 4.0014 6.821 4.9900( 19.96 s E Delivery: Subtotal 58.94 Attentio : Indiana Sales Tax 7.0000% 0.00 Tax Exempti 0 T r f Charge Sale 58.94 Customer S gnature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE �. REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 _.,......,........_.......,_,,..._..,.....,....._.,_,._.....,, ..... CARMEL NAPA Time: 08:52 iInvoice Number 8782661 Alrr® 1441 S GUILFORD AVE STE 140 t 1NAPA � REF BY_ VER BY _ Date: 05/14/2013 CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 [CARMEL,98 11i Employee: 36 Tige .. •.,.__.. �.� TY OF CARMEL/BROOKSHIRE GOLF ! Sales Rep: 10 PHIL CIVIC SQ OCR Accounting Day: 14 IN 46032-2584 1000060178782665 f � L'iriek`s` <:' D'escrip,tiori ' QuanEityf Price'• Net Total.' _; _ti .<•,-:_„ x�� �.• ,rye.; .. , N997525RED BAT .BATTERY 1.00 246.221 184.00001 184.00 N997525RED BAT jCore Deposit 1.00 12.00 12.0000, 12.00 D 1356 FIL 1NAPAGOLD OIL FILTER 1.00 13.161 7.69001 7.69 7035 IFIL (Oil Filter (Gold) ( 4.001 23.251 13.6900' 54.76 ! 1 Delivery: Subtotal 258.45 Attention: Indiana Sales Tax 7.0000% 0.00 € Tax Exemption: PO#: I Terms: f i . __..._._ ._..__.. ___._.._.' �,.�.��..,ry_�.�. .-�y��.�.� .� t , .� To t•a l�..k =� >245 8M 4 5��w;`'w�" Charge Sale 258.45 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)) 05/14/13 878266 Repair Parts $258.45 05/15/13 878493 Repair Parts $58.94 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 $317.39 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 878266 43-500.00 $258.45 1 hereby certify that the attached invoice(s), or 1207 878493 43-500.00 $58.94 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 Friday, May 17, 2013 l Director, Brook sh Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund