244264 4 /15/2015 CITY OF CARMEL, INDIANA VENDOR: T358994
I� ONE CIVIC SQUARE IGA/PGA, INC CHECK AMOUNT: P****3,240.00*
CARMEL, INDIANA 46032 PO BOX 516 CHECK NUMBER: 244264
9A,,rON�pFRANKLIN IN 46131 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2016466 3,240.00 ORGANIZATION & MEMBER
Please Detach And Return Top Portion With Your Payment
INVOICE
CLUB NAME BILL DATE DUE DATE
Brookshire Golf Club 04/07/2015 05/07/2015
REF# DESCRIPTION FEE
2016466 2015 Additional Fees#1 Invoice for additional Members above the 15 Member $3,240.00
Mimimum previously billed.
If you have questions about your account, call 317-738-9696. $3,240.00
Message(s):
177-15=162
Indiana Golf z7lue olf
VOUCHER NO. WARRANT NO.
ALLOWED 20
IGA-PGA
Judy Deiwert
IN SUM OF $
P.O. Box 516
Franklin, IN 46131
$3,240.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#I Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
1207 I 2016466 ( 43-553.00 I $3,240.00 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
I
Monday, April 13, 2015
Director, Brookshi Club
Titie
Cost distribution ledger classification if 1
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))
04/07/15 2016466 Dues $3,240.00
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
20
Clerk-Treasurer
I