223483 08/27/2013 a 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 CHECK AMOUNT: $61.87
CHICAGO IL 60693 CHECK NUMBER: 223483
lION 0
CHECK DATE: 8/2712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 1898 61 . 87 EQUIPMENT REPAIRS & M
100006017 F —•..._----°--.- _ .i
CARMEL NAPA Time: 10:18 $ Invoice Number 8920811
(NAPA` �®WA® P il
1441 S GUILFORD AVE STE 140 t
Q REF BY_ VER BY Date: 08/19/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
1898 Employee: 36 Tige
® CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store
1 CIVIC SQ j OCR
Accounting Day: 19
w CARMEL, IN 46032-2584
1000060178920819
3
Part''Numbere' i Line,ix :4"', Descript on .Quantityl Price :Net
.. .....• .._.,G$...,.... '......wzb..a3 ... .d a...,..w... m<u:.ii_' ..R�...L,.....L'::. ... .iuw.w .3....._ .s
70133 VAL CERULEAN 2 GRS CARTR 10.00 8.40 4.6900 46.90
7151151 BK [COUPLER ? 2.00 5.621 3.4900 6.98
7151229 BK GR HOSE j 1.00 14.34 7.99001 7.99 j
I
Delivery: - Subtotal 61.87
Attention: E Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
P : ( r _.
Terms:
Total ;" :. . 61 87 . :
. f.�:.� •,� _ .._..._�a,�M ...
Charge Sale 61.87
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))
08/19/13 892081 Repair Parts $61.87
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$61.87
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
3y
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 892081 I 43-500.00 I $61.87 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
Friday, August 23, 2013
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund