224885 10/08/2013 "*f 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: $60.28
'r CHICAGO IL 60693
,o CHECK NUMBER: 224885
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 085-01898 60 . 28 896744
100006017
CARMEL NAPA Time: 12:27 Invoice Number 896744'
El " 1441 S GUILFORD AVE STE 140
® REF BY VER BY Date: 09/20/2013
s
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
`>- 1898 Employee: 19 Jim
® CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day' 20 OCR
® CARMEL, IN 46032-2584
1000060178967449
Part Numb > - Description -Quantity, w;` Net ,q x- y;,' wTotal
(( t
. _ .•,.2 00 13.16` 7.6900 15.38
1356 FIL 'NAPAGOLD OIL FILTER _ i
1307 iFIL �NAPAGOLD OIL FILTER 2.00? 13.46, 7.9900: 15.98
765-1237 BK NAPA RED RTV 30Z 2.001 7.14 5.4900; 10.98 j
70133 ;VAL ;CERULEAN 2 GRS CARTR i 6.00 8.40 2.9900 17.94 j
Above Item on Sale
Delivery: Our Truck NE- 3-13:27 Subtotal 60.28
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Charge Sale 60.28
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))
09/20/13 896744 Repair Parts $60.28
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
$60.28
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 896744 I 43-500.00 I $60.28 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, September 27, 2013
c
Director, Brooks ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund