226312 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPp��g
, INDIANA 46032 CF3ECK AMOUNT: $52.05
CARMEL
ti�4e 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 226312
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 52 . 05 EQUIPMENT REPAIRS & M
V; 100006017
El 144CARMEL NAPA Time: 11:12 Invoice Number 903013
INAPAf
1 S GUILFORD AVE STE 140
� REF BY_ VER BY Date: 11/05/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
1898 Employee: 1 Duane
® CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 5 OCR
o CARMEL, IN 46032-2584 - - _. _---._._. . __ ..-__ _ _..�
1000060179030137
Part Number - li"inel' Description. °!,Quariti y':y 'Price f.! Net .Total
__. ».... _
RS1068 'ECH (ROCKER SWITCH 1.00i 22.18; 13.69001 13.69
FRT Freight 1.00' 0.00 8.0000, 8.00 D
1348 FIL !NAPAGOLD OIL FILTER 2.00; 11.50 6.6900 13.38
1365 FIL NAPAGOLD OIL FILTER 2.00' 14.76; 8.4900 16.98
E
Delivery: Our Truck NE- 3-12:12 Subtotal 52.05
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
I Terms:
- _ . . . . . . . ota.>l . . 52':.05
Charge Sale 52.05
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))
11/05/13 903013 Repair Parts $52.05
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
$52.05
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
0050/Y9 f
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
--T
1207 I 903013 I 43-500.00 I $52.05 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, November 15, 2013
Director, Brookshire Zolf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund