232807 05/21/14 V �'"''F. CITY OF CARMEL, INDIANA VENDOR: 359590
® ONE CIVIC SQUARE H2 GOLF COMPANY CHECK AMOUNT: $ ......78.75*
CARMEL, INDIANA 46032 32788 HUPA DRIVE CHECK NUMBER: 232807
'+;,�r6N�. TEMECULA CA 92592 CHECK DATE: 05/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 12498 78.75 GOLF SOFTGOODS
H2 Golf Company, LLC Invoice
32788 Hupa Drive
Temecula, CA 92592 Date Invoice#
Q ® L F www.h2golf.com
accounting@h2golf.corn 4/30/2014 12498
800-466-2305 x2
Bill To Ship To
Brookshire Golf Club Brookshire Golf Club
Attn:Accounts Payable Atm:Golf Shop
12120 Brookshire Parkway 12120 Brookshire Parkway
Carmel,IN 46033 Carmel,IN 46033
Rep P.O. No. Terms Due Date
MH PO#Brian Net 30 5/30/2014
H2 Item Description S.O. No. Invoic... Unit Price Ordered Prev. Inv... Backorder... Amount
SS-013103 Super Stroke Grip 2.0 Blue 10624 2 15.75 2 0 0 31.50
SS-013530 Super Stroke Mid 1.4(red) 10624 3 15.75 3 0 0 47.25
Thank you for your business! Total $78.75
*All return goods will be inspected by our warehouse staff prior to issuing a credit. Sales Tax (0.0%) $0.00
Our terms are net 30 days.A 1 1/2%late charge per month will be added on all past due
Payments/Credits $0.00
invoices.
Balance Due $78.75
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))
04/30/14 I 12498 I Soft Goods I $78.75
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
H2 Golf Company, LLC
IN SUM OF $
32788 Hupa Dr.
Temecula, CA 92592
$78.75
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 12498 I 43-560.06 I $78.75 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
Monday, May 12, 2014
Director, Brookshire YoIf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund