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223617 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 362834 Page 1 of 1 ONE CIVIC SQUARE R&R PRODUCTS INC CHECK AMOUNT: $75.90 CARMEL, INDIANA 46032 3334 E MILBER ST TUCSON AZ 85714 CHECK NUMBER: 223617 CHECK DATE: 8/27/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 CD1712512 75 . 90 EQUIPMENT REPAIRS & M Aefth R&R PRODUCTS, INC. Invoice Invoice Number Invoice Date Total Invoice Amount Rgi? 3334 East Milber Street CD1712512 8112/13 $75.90 Tucson,AZ 85714 ORIGINAL [Prodq&S PH (520)889 3593 Order Number Due Date Customer Number FAX(520)294 1045 Page 1 of 1 R897450 9/11/13 46032B Purchase Order Number Order Received Terms of Payment Terms of Delivery Ship Via RUSSELL 8/12/13 30 Days Net DELIVERED FED EX 2 DAY Invoice Address Delivery Address BROOKSHIRE GOLF CLUB R BROOKSHIRE GOLF CLUB R ATTN-. GOLF COURSE MAINTENANCE ATTN: GOLF COURSE MAINTENANCE 12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY CARMEL, IN 46033-3314 CARMEL, IN 46033-3314 Line Part Number Description Quantity Unit Unit Price Discount Price Total 1 R93-8457 Belt- Main Drive 1.00 EA 48.65 0% 48.65 2 R63-1540=03 Pulley- Idler 1.00 EA 18.65 0% 18.65 Sub Total, before charges 67.30 FREIGHT Freight Charges 1.00 EA 8.60 8.60 Sub Total, before tax 75.90 You can also pay your invoice using your credit card. Total Tax 0.00 We accept Visa, Mastercard, American Express and Discover. Total Invoice Amount 75.90 For details, please call Customer Service at 800-528-3446 All past due invoices are charged 2%interest per month,24%per annum.All invoices are considered past due after 30 days.Statements are only provided for past due accounts. VOUCHER NO. WARRANT NO. ALLOWED 20 R & R Products, Inc. IN SUM OF $ 3334 E. Milber Street Tucson, AZ 85714 $75.90 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I CD1712512 I 43-500.00 1 $75.90 1 hereby certify that the attached invoice(s), or I 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 16, 2013 1 Director, Brook ilre 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)) 08/12/13 CD1712512 Repair Parts $75.90 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