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225055 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 362834 Page 1 of 1 ONE CIVIC SQUARE R&R PRODUCTS INC CHECK AMOUNT: $41.30 CARMEL, INDIANA 46032 3334 E MILBER ST or TUCSON AZ 85714 CHECK NUMBER: 225055 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 CD1728232 41 . 30 EQUIPMENT REPAIRS & M I 1 R&R PRODUCTS, INC. Invoice Invoice Number Invoice Date Total Invoice Amount 3334 East Milber Street CD1728232 9/27/13 $41.30 R& Tucson,AZ 85714 ORIGINAL PWd� PH(520)889 3593 e Order Number Due Date Customer Number Pa 1 of 1 FAX(520)294 1045 9 R909923 10/27/13 460328 Purchase Order Number Order Received Terms of Payment Terms of Delivery Ship Via RUSSEL 9/27/13 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 R251-141 Bearing - Roller 2.00 EA 13.50 0% 27.00 2 R253-83 Seal -Oil 7/8 OD x 5/8 ID 2.00 EA 3.80 0% 7.60 Sub Total, before charges 34.60 FREIGHT Freight Charges 1.00 EA 6.70 6.70 Sub Total, before tax 41.30 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 41.30 For details, please call Customer Service at 800-528-3446 P - - - _ +ays.Starr• - p �y-e- 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)) 09/27/13 CD1728232 Repair Parts $41.30 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 R & R Products, Inc. IN SUM OF $ 3334 E. Milber Street Tucson, AZ 85714 $41.30 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I CD1728232 I 43-500.00 I $41.30 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 Tuesday, October 01, 2013 Director, Brooks hi Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund