HomeMy WebLinkAbout242783 03/03/15 oll.
CITY OF CARMEL, INDIANA VENDOR: 369144ONE CIVIC SQUARE LSQ FUNDING GROUP LCCHECK AMOUNT: $"`"""968.30*
CARMEL, INDIANA 46032 PO BOX 404322 CHECK NUMBER: 242783
ATLANTA GA 30384-4322 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 INV713219222 968.30 GOLF SOFTGOODS
row :...._ Invoice
AW
Acct. No. Date Invoice#
20005615 2/13/2015 INV713219222
Klone Lab,LLC. CHECK PAYABLE TO
9 Water Street
3rd Floor LSQ Funding Group,L.C.AmesburyP.O.Box 404322
MA 01913
US Atlanta,GA 30384-4322
978-378-.3434 Page 1 of 2
Tax I D#27-0771885
Bill To Ship To
City.of Carmel . City of Carmel
Brookshire Golf Course Brookshire Golf Course '
12120 Brookshire Pkwy 12120 Brookshire Pkwy
Carmel IN 46033 Carmel IN 46033
Terms,-- _ Due-Date _ PO# __ Sales Rep _ - ._Currency - Units'-
Net 90 5/14/2015 1012142 Tom Richardson US Dollar 19
Shipping Method Ship Date Tracking#
UPS Ground 2/16/2015 1Z86402FO300416486 1Z86402F0300416495
Style Description Quantity Price Level Unit Price Amount -
NBG1001BK-10.5 D Minimus Sport 1 Base Price 60.00 60.00
NBG1001BK-11 D Minimus Sport 1 Base Price 60.00 60.00
NBG1001BK-11.5 D Minimus Sport I Base Price 60.00 60.00
NBG1001BK-12 D Minimus Sport 1 Base Price 60.00 60.00
NBG1001BK-13 D Minimus Sport 1 Base Price 60.00. 60.00
NBG574BGRY-9 D NBG574B 1 Base Price 55.00 55.00
NBG574BGRY-9.5 D NBG574B 1 Base Price 55.00 55.00
NBG574BGRY-I0D -_ _ NBG57413 1 Base Price 55.00 55.00
NBG574BGRY-10.5 D NBG574B 1 Base Price 55.00 55.00
NBG574BGRY-11 D NBG574B 1 Base Price 55.00 55.00
NBG574BGRY-11.5 D _ NBG574B _ _ _____ 1-_Base Price__- _-55.00_ -
NBG1701WK-9 D NBG1701 1 Base Price 55:00 55.00
NBG1701WK40 D NBG1701 1 Base Price 55.00 55.00
NBG1701WK-11 D NBG1701 1 Base Price 55.00 55.00
NBGl701WK-12 D NBG1701 1 Base Price. 55.00 55.00
14BG1701WK-10.5 2E NBG1701 1 Base Price 55.00 55.00
NBG1001BK-10 D Minimus Sport 1 Base Price 60.00 60.00
........ ::..... Invoice
Acct. No. Date Invoice 9
20005615 2/13/2015 INV713219222
Klone Lab,LLC.
9 Water Street
3rd.Floor
Amesbury MA 01913
us
978-378-3434 Page 2 of 2
Tax I D#27-0771885
Style Description Quantity Price Level Unit Price Amount
Subtotal 965.00
Discount(NB Golf Discount-5%) -48.25
Shipping and Handling (UPS Ground) 51.55
Total 968.30
Amount Due $968.30
This account is assigned and payable only to LSQ Funding Group,L.C.
Payments should be sent to them at:
LSQ Funding Group,L.C.
P.O.Box 404322
Atlanta,GA30384-4322
VOUCHER NO. WARRANT NO.
ALLOWED 20
LSQ Funding Group, L.C.
IN SUM OF $
P.O. Box 404322
Atlanta, GA 30384-4322
$968.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#IrITLE AMOUNT Board Members
1207 I INV713219222 I 43-560.06 I $968.30 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, Fe uary 26, 2015
1
Director, Brookshire 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))
02/13/15 INV713219222 Golf Shoes $968.30
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