223984 09/10/2013 c�gMf CITY OF CARMEL, INDIANA VENDOR: 359984 Page 1 of 1
ONE CIVIC SQUARE INDIANA GOLF CAR
CHECK AMOUNT: $65.00
CARMEL, INDIANA 46032 1770 B EAST 266TH STREET
4d ARCADIA IN 46030
>o„�o CHECK NUMBER: 223984
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 4922 65 . 00 EQUIPMENT REPAIRS & M
Indiana Golf Car, Inc. Invoice
1770 B E 266th
Date Invoice#
Arcadia, IN 46030
8/26/2013 4922
Bill To Ship To
BROOKSHIRE G.C. BROOKSHIRE G.C.
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY.
CARMEL,IN 46033 CARMEL,IN 46033
P.O. Number Terms Re Ship Via F.O.B. Project
P P 1
RUSSELL Net 30 8/26/2013
Quantity Item Code Description Price Each Amount
1 103528801 KIT,BRAKE CABLE,PREC UPGRADE 65.00 _ 65.00
Total $65.00
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))
08/26/13 4922 Repair Parts $65.00
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
Indiana Golf Car, Inc.
IN SUM OF $
1770 B E 266th
Arcadia, IN 46030
$65.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 4922 I 43-500.00 I $65.00 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
Thursday, August 29, 2013
Director, Brookshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund