236854 09/10/14 CITY OF CARMEL, INDIANA VENDOR: 359590
® ONE CIVIC SQUARE H2 GOLF COMPANY CHECK AMOUNT: $**.....201.75*
r, ?� CARMEL, INDIANA 46032 32788 HUPA DRIVE CHECK NUMBER: 236854
9",<7ori�.` TEMECULA CA 92592 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 14914 201.75 GOLF SOFTGOODS
H22.
H2 Golf Company, LLC Invoice
32788 Hupa Drive
Temecula, CA 92592 Date Invoice#
"M O•L F wN;w.112golf.coin
accountingo h2golfcom 7/29/2014 14914
800-466-2305 x2
Bill To Ship To
Brookshire Golf Club Brookshire Goli'Club
Attn:Accounts Payable Attn:Go]fShop
12120 Brookshire Parkway 12120 Brookshire Park),vay
Cannel,IN 46033 Cannel,IN 46033
Rep P.O. No. Terms Due Date
HSA Brian Net 30 8/28/2014
H2 Item Description S.O. No. Invoic... Unit Price Ordered Prev. Inv... Backorder... Amount
11101-Pe... 2 1/8'Deluxe 50 pk WhiteTees Peg 13440 12 1.55 12 0 0 18.60
#1
11 102-Pe... 2 3/4'Deluxe 50 pk WhiteTees Peg 13440 12 1.55 12 0 0 18.60
#2
11103-Pe... 2 3/4'Deluxe 50 pk Natural Tees 13440 12 1.55 12 0 0 18.60
Peg#3
11104-Pe... 2 3/4'Deluxe 50 pk Mixed..Peg#4 13440 12 1.55 12 0 0 18.60
1 1 105-Pe... 2 3/4'Deluxe 50 pk Pink..Peg 45 13440 12 1.55 12 0 0 18.60
11 106-Pe... 2 3/4'Deluxe 100 pk White..Peg#6 13440 12 2.55 12 0 0 30.60
11107-Pe... 2 3/4'Deluxe 100 pk Natural..Peg 13440 12 2.55 12 0 0 30.60
#7
11108-Pe... 2 3/4'Deluxe 100 pk Mixed..Peg#8 13440 12 2.55 12 0 0 30.60
Shipping... Shipping Fee 16.95 16.95
Pay onlin at: litti)s:Hipn.intLlit.com/d5 v'n2r
Thank you for your business! Total $201.75
*All return goods will be inspected by our warehouse staff prior to issuing a credit. Sales Tax (0.0%) $0.00
Our tens are net 30 days.A 1 112%late charge per month will be added on all past due
Payments/Credits $0.00
invoices.
Balance Due $201.75
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))
07/29/14 14914 Golf Soft Goods $201.75
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
H2 Golf Company, LLC
IN SUM OF $
32788 Hupa Dr.
Temecula, CA 92592
$201.75
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 I 14914 I 43-560.06 I $201.75 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
Thursday, September 04, 2014
Director, Brookshire Gol lub
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund