239282 11/19/14 u...4�q
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�! .� CITY OF CARMEL, INDIANA VENDOR: T358994
d ONE CIVIC SQUARE IGA/PGA, INC CHECK AMOUNT: $********60.00*
�9 ,q CARMEL, INDIANA 46032 Po Box 516 CHECK NUMBER: 239282
�'��iori�°. FRANKLIN IN 46131 CHECK DATE: 11/19/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2015689 60.00 ORGANIZATION & MEMBER
INDIANA GOLF BILL DATE DUE DATE
11/0712014 11/07/2014
; BILLING INQUIRIES PAY THIS AMOUNT AMOUNT ENCLOSED
317-738-9696 $60.00
Promoting the Game,Honoring the Tradition.
❑ VISA ❑ ❑AMEX
Make checks payable to:IGA-PGA,Inc. Card Number Exp.Date
Signature Security Code
Indiana Golf Office Brookshire Golf Club
PO Box 516 12120 Brookshire Pkwy
Franklin, IN 46131 Carmel, IN 46033-3314
Please Detach And Return Top Portion With Your Payment
INVOICE
CLUB NAME BILL DATE DUE DATE
Brookshire Golf Club 11/07/2014 11/07/2014
REF# DESCRIPTION FEE
2015689 New Members 3 Standard members @$20.00 $60.00
2015690 Existing members 205 Standard members @$0.00 $0.00
•
If you have questions about your account,call 317-738-9696. $60.00
Message(s):
Final billing is Due Upon Receipt.
Thank you for your prompt payment.
Judy
Indiana Golf B/ueGO/fL6
INNOVAT SYSnWSFORGOfF
VOUCHER NO. WARRANT NO.
ALLOWED 20
IGA-PGA
Judy Deiwert IN SUM OF$
P.O. Box 516
Franklin, IN 46131
$60.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 I 2015689 I 43-553.00 I $60.00 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
ednesday, November 12, 2014
Director, Brookshir olf 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))
11/07/14 2015689 Dues $60.00
I
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
120
Clerk-Treasurer