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Home My WebLink About230383 03/26/14 o*F CITY OF CARMEL, INDIANA VENDOR: 367023 ® it ONE CIVIC SQUARE CROCS INC CHECK AMOUNT: $*******882.71 CARMEL, INDIANA 46032 Po Box 644601 CHECK NUMBER: 230383 %y(TON`o:� PITTSBURGH PA 15264-4601 CHECK DATE: 03/26/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356006 2428434RI 52.71 GOLF SOFTGOODS 1207 4356006 2428435RI 630.00 GOLF SOFTGOODS 1207 4356006 2428436RI 200.00 GOLF SOFTGOODS Ocrocs, INVOICE Date Invoice# Please remit payment to: 03/15/14 2428435 RI Crocs Inc Customer# 40019275 P.O. Box 644601 Pittsburgh,PA 15264-4601 855-547-6316 Bill To Ship To Brookshire Golf Club Brookshire Golf Club 12120 Brookshire Pkwy 12120 Brookshire Pkwy Carmel IN 46033 Carmel IN 46033 United States United States Terms Due Date PO# Sales Rep Ship Via Net 30 Days 04/14/14, 1629249 UGG FedEx Ground Ground Service Tracking Numbers 897950073071163,897950073071156, 897950073071170, Freight Collect# Order Store# Ship Date External Sales Rep 9764941 SO 03-15-14 Note: Item Quantity Description Unit Price Amount 1 1 i M12 60,0000 60.00 15101-246-680 1— KadsonRTXGolfM Cho/Ora M10 70,0000 70.00 Qrayden2GoIfM Char/Qcn M9 50,0000 50.00 1 15159-07W-71 0 1 1 1.5 50,0000 50.00 1 1Whi/TRd M12 50,0000 50.00 1 15160-07R-71 0 1 Preston2GoIfM Char/PKn 15160-2313-680 1 Preston2GoIfM EspMal M10 50,0000 50, 1 1 Preston2GoIfM EspfWal M10.5 50.0000 50.00 15160-2313-7101 I M1 1.5 50,0000 50, 15160-2313-720 1 Total Quantity 12 If product has been shipped in error, Crocs,-Inc. will approve the return of goods on the following basis: Crocs is notified within seven (7)days of receipt of shipment. An RIMA has been issued by the corporate office.Goods are returned in sellable condition. Any product authorized to be Total $630.00 returned outside of the above circumstances may be subject to a 20% restocking fee. Thank you for your business! Page 1 of 1 INVOICE ecrocs, Date Invoice# Please remit payment to: 03/15/14 2428434 RI Crocs inc Customer# 40019275 P.O. Box 644601 Pittsburgh, PA 15264-4601 855-547-6316 Bill To Ship To Brookshire Golf Club Brookshire Golf Club 12120 Brookshire Pkwy 12120 Brookshire Pkwy Carmel IN 46033 Carmel IN 46033 United States United States Terms Due Date PO# Sales Rep Ship Via Net 30 Days 04/14/14, 1629249 UGG FedEx Ground Ground Service Tracking Numbers Freight Collect# Order Store# Ship Date External Sales Rep 9764941 SO 03-15-14 Note: Item Quantity Description Unit Price Amount FREIGHT 1 FIRE GHT 52,71002 Total Quantity 1 If product has been shipped in error, Crocs, Inc. will approve the return of goods on the following basis: Crocs is notified within seven(7)days of receipt of shipment. An RIMA has been issued by the corporate office. Goods are returned in sellable condition.Any product authorized to be Total $52.71 returned outside of the above circumstances may be subject to a 20% restocking fee. Thank you for your businessl Page 1 of 1 INVOICE Ocrocs, Date Invoice# Please remit payment to: 03/15/14 2428436 RI Crocs Inc Customer# 40019275 P.O.Box 644601 Pittsburgh,PA 15264-4601 855-547-6316 BillTo Ship To Brookshire Golf Club Brookshire Golf Club 12120 Brookshire Pkwy 12120 Brookshire Pkwy Carmel IN 46033 Carmel IN 46033 United States United States Terms Due Date PO# Sales Rep Ship Via Net 30 Days 04/14/14, 1629249 UGG FedEx Ground Ground Service Tracking Numbers 897950073071125, Freight Collect# Order Store# Ship Date External Sales Rep 9764941 SO 03-15-14 Note: Item Quantity Description Unit Price Amount 15159-07W-700 1 Drayden2GolfM Cha Ocn M1 1 50,0000 50.00 1 1 Drayden2GolfM Wh*/TRd M10.5 50,0000 50.00 15159-12L-700 1 Qrayden2GolfMWhi RdM11 50,0000 50.00 Total Quantity 4 If product has been shipped in error, Crocs, Inc. will approve the return of goods on the following basis: Crocs is notified within seven (7)days of receipt of shipment. An RMA has been issued by the corporate office. Goods are returned in sellable condition.Any product authorized to be Total $200.00 returned outside of the above circumstances may be subject to a 20% restocking fee. Thank you for your business! Page 1 of 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Crocs Inc. IN SUM OF $ P.O. Box 644601 Pittsburgh, PA 15264-4601 $882.71 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 2428434 RI j 43-560.06 $52.71 1 hereby certify that the attached invoice(s), or 1207 2428436 RI 43-560.06 $200.00 bill(s) is (are) true and correct and that the 1207 I 2428435 RI I 43-560.06 I $630.00 materials or services itemized thereon for which charge is made were ordered and received except Thursday, March 20, 2014 Director, Brookshire G If 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)) 03/15/14 I 2428434 RI I Golf Soft Goods I $52.71 03/15/14 I 2428436 RI I Golf Soft Goods I $200.00 03/15/14 I 2428435 RI I Golf Soft Goods I $630.00 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