222949 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA Pp��g
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CFIECK AMOUNT: $105.65
CHICAGO IL 60693 CHECK NUMBER: 222949
CHECK DATE: 8/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER J AMOUNT DESCRIPTION
1207 4350000 1898 105 . 65 EQUIPMENT REPAIRS & M
100006017
CARMEL NAPA Time: 11:43 Invoice Number 889037;
iNAPA[
NMPAW 1441 S GUILFORD AVE STE 140
REF BY VER BY Date: 07/29/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
__... _ .. _.................. ._ .....m... -«... b....w
1898 Employee: 4 Chris
CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store Y Y
1 CIVIC SQ i Accounting Day 29 OCR
CARMEL, IN 46032-2584 ____. r._...... ....._.. _ ,,.. ...,.._ .... _.._
1000060178890370
r ,,,
Part Number Lne r DeSCription � Quanty PY1 rice -Net a"•Total
.,.� ..... _ .._.. ._ :_ xr ,a ;�,.
3001 #FIL NAPAGOLD FUEL FILTER 3.00$ 6.821 3.9900 11.97
7101149 sBK IRE REP PATCH IN KIT 20.00
)T 1.34 0.4000,, 8.00 R
Above Item on Sale
7651198 iBK UNIVERSAL CEMENT 2.001 20.00; 5.9300 11.86 IR
Above Item on Sale
i
i
Delivery: Subtotal 31.83
Attention: Indiana Sales Tax 7.0000% 0.00
} Tax Exemption:
I
I
PO#:
Terms:
...7
Charge Sale 31.83
Customer Signature
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: 11:47 Invoice Number 888601
(NAPA( 1441 S GUILFORD AVE STE 140 p 1
REF BY VER BY Date: 07/25/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
1898 Employee: 14 Anna
® CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 25 OCR
CARMEL, IN 46032-2584 _.... __ . ..._... _._... `
1000060178886018
Line - s
party Numb�gx .. .. Descript�on .., x.... , .. 'Quantity
715-1132 BK AIR GREASE GUN ] �00� 106.95 56.6000, 56.60 R
Above Item on Sale
1064 FIL NAPAGOLD OIL FILTER 1.00 22.70= 6.000W 6.00 iR
1394 (FIL 'NAPAGOLD OIL FILTER 3.00 12.44 3.7400 11.22 `R
Delivery: Our Truck NE- 3-12:47 Subtotal 73.82
Attention: Filters Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
£ PO#: i
Terms:
/ Charge Sale 73.82
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$105.65
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
C�
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 888601 43-500.00 $73.82 I hereby certify that the attached invoice(s), or
1207 889037 43-500.00 $31.83 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, August 08, 2013
Director, Brooks hir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/25/13 888601 Repair Parts $73.82
07/29/13 889037 Repair Parts $31.83
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