HomeMy WebLinkAbout228807 1/29/2014 �-y CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA Pp��
y{y� CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE L11ECK AMOUNT: $185.11
CHICAGO IL 60693
CHECK NUMBER: 228807
CHECK DATE: 1/29/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 99 . 99 913194
1207 4350000 08501898 85 . 12 913264
100006017
CARMEL NAPA Time: 08:44 Invoice Number 913194
URI 1441 S GUILFORD AVE STE 140
REF BY VER BY Date: 01/24/2014
3 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: 23 OCR
CARMEL, IN 46032-2584 _ _ - .,_
1000060179131947
Part Number Linen` 's DescriptionQuantity� Price Net Total
2000 Chevrolet Truck Silverado 1500 1/2 Ton 2WD - P
665-3732 !NOE 'Window Regulator - Left Front € 1.00 159.98, 99.9900 99.99
Delivery: Our Truck NE- 3-09:44 Subtotal 99.99
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Total 99 . 99
Charge Sale 99.99
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006017
CARMEL NAPA Time: 11:52 Invoice Number 913264
CA PAI Iwo " 1441 S GUILFORD AVE STE 140
qa REF BY_ VER BY Date: 01/24/2014
-®--- CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
1898 Employee: 36 Tige
® CITY OF CARMEL/BROOKSHIRE GOLFSales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 23 OCR
`a CARMEL, IN 46032-2584 -_ _ __ .___._,_. _.. _
1000060179132642
Part Number Line; Descriptio`ri ;Quantity P Price ' Net Total
04U-104 ..'WH_..,T,+HOSE END � 4.00, � 8.94, 7.4900 29.96
H42504 IWH (HYDRAULIC HOSE 6.75, 8.221 6.6900 45.16
CRIMP `LAB lHose Crimp 4.00 4.00'; 2.5000 10.00
r i
Delivery: Subtotal 85.12
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Total 85 . 12
Charge Sale 85.12
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
$185.11
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 913194 I 43-500.00 I $9999 1 hereby certify that the attached invoice(s), or
1207 I 913264 I 43-500.00 I $85.12 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
Monday, January 27, 2014
Director, Brook ire 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))
01/24/14 I 913194 Repair Parts I $9999
01/24/14 I 913264 I Repair Parts $85.12
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