225373 10/23/2013 ±,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 CFIECK AMOUNT: $115.96
CHICAGO IL 60693
„o„ a CHECK NUMBER: 225373
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 115 . 96 EQUIPMENT REPAIRS & M
100006017 . .
CARMEL NAPA Time: 09:44 Invoice Number 8992981
fi
1441 S GUILFORD AVE STE 140
El REF BY_ VER BY _ Date: 10/09/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
...:..................... ............. ...:::.,, .;:..0 .«.....ter.«.. .:..... .....::.........
1898 Employee 36 Tige Y Y E
CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep. 10 Store
1 CIVIC SQ ? OCR
Accounting Day: 9
CARMEL, IN 46032-2584 _.. _.. _... ;
1000060178992983
S PartNumberLne F, +DescYiptYior QuP,an testy apriCeNet ,, „`TOta'l
7101204 BK iTIRE BEAD SEALER 1.001 36.78i 14.99
Above Item on Sale
6570 BAT ?;Core Deposit -1.00; 15.00' 15.0000 15.00 MD
This item was purchased on invoicef # 899087; 10/08/2013:
Delivery: Subtotal 0.01CR
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: credit
Terms:
6, s
rv01 CR
Credit Memo 0.01 CR
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006017
I
CARMEL NAPA Time: 08:27 ' Invoice Number 899087:
El
1441 S GUILFORD AVE STE 140
REF BY VER BY Date: 10/08/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
.................... ............
1898 Employee: 80 BOB £
CITY OF CARMEL/BROOKSHIRE GOLF ( Sales Rep: 10 Store Y Y
1 CIVIC SQ OCR
Accounting Day: 8
w CARMEL, IN 46032-2584 ._. ,,,.,_ - ....._ .,...,_..:
1000060178990878
£
Part Number tine� � Descriptio � Quan�" .W 116.50' 88t00 � t88.99
6570 BAT BATTERY
6570 BAT Core Deposit 1.00: 15.00= 15.0000: 15.00 D
E92BP4 BK ENR MAX AAA-4 BATT 2.00; 11.64E 5.9900; 11.98
I
I E
Delivery: Subtotal 115.97
Attention: Russell Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: russell
Terms:
1A W01
Total: 'I15 97
Charge Sale 115.97
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$115.96
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
N 5019q y
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
1207 899087 43-500.00 $115.97 l hereby certify that the attached invoice(s), or
1207 899298 43-500.00 ($0.01) 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 15, 2013
Director, Brook i e 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))
10/08/13 899087 Battery $115.97
10/09/13 899298 Repair Parts ($0.01)
I 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