242539 2 /24/2015 416.41
CITY OF CARMEL, INDIANA VENDOR: T358994
ONE CIVIC SQUARE IGA/PGA, INC CHECK AMOUNT: $*******550.00*
CARMEL, INDIANA 46032 Po eox 516 CHECK NUMBER: 242539
("1 ? FRANKLIN IN 46731 CHECK DATE: 02/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2016213 550.00 ORGANIZATION & MEMBER
Please Detach And Return Top Portion With Your Payment
INVOICE
CLUB NAME BILL DATE DUE DATE
Brookshire Golf Club 02/12/2015 02/12/2015
REF# DESCRIPTION FEE
2016213 Club dues Association fee $550.00
If you have questions about your account, call 317-738-9696. $550.00
Message(s):
Indiana Golf BlUeGo/f`�
MOVAVN SYSTEMS FOR GOLF
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))
02/12/15 2016213 Dues $550.00
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
IGA-PGA
IN SUM OF $
Judy Deiwert
P.O. Box 516
Franklin, IN 46131
$550.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 I 2016213 I 43-553.00 I $550.00 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
Friday, February 20, 2015
i
Director, Brooksh A olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund