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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