244745 4 /29/2015 (9,
CITY OF CARMEL, INDIANA VENDOR: 361429
ONE CIVIC SQUARE MAXX SUNGLASSES CHECKAMOUNT: $*******408.00*
CARMEL, INDIANA 46032 PO BOX 3110 CHECK NUMBER: 244745
MONUMENT CO 80132 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 222569 408.00 GOLF SOFTGOODS
M- AXX. HDo Invoice
u n. ' i - d: .S6 s
PO Box 3110 Page 1 of 2
Monument CO 80132
US Date 2/27/2015
877 550 8116 Invoice# 222569
Terms Net 30
Due Date 3/29/2015
PO#
Sales Rep Joe Pacheco
Bill To Ship To
BROOKSHIRE GOLF CLUB IN BROOKSHIRE GOLF CLUB IN
12120 BROOKSHIRE PWY 12120 BROOKSHIRE PWY
CARMEL IN 46033 CARMEL IN 46033
P 1 o e o
4 Maxx 2 Black 8.50 34.00
4 Stingray Black 8.50 34.00
2 Stingray Green 8.50 17.00
3 Storm Black 8.50 25.50
1 Storm White 8.50 8.50
4 Wizard Black w/Black Rubber 8.50 34.00
2 Wizard Black w/Blue Rubber 8.50 17.00
2 Wizard Black w/Red Rubber 8.50 17.00
2 Wizard Black w/Orange Rubber 8.50 17.00
2 Maxx GT Black 8.50 17.00
2 Maxx GT White 8.50 17.00
3 Maxx Raven Black w/White Rubber 8.50 25.50
3 Maxx Raven Silver w/Black Rubber 8.50 25.50
2 Maxx Dynasty 2.0 Black 8.50 17.00
2 Maxx Dynasty 2.0 Black Carbon Fiber 8.50 17.00
2_ Stealth 2.0 Black 8.50 17.00
4 Stealth 2.0 Blue Carbon Fiber 0.00 0.00
2 Maxx Domain Blue 8.50 17.00
2 Maxx Domain Red 8.50 17.00
2 Maxx Domain White 8.50 17.00
2 Maxx 1 8.50 17.00
MAs R Invoice
PO Box 3110 Page 2 of 2
Monument CO 80132us Date 2/27/2015
877 550 8116 Invoice# 222569
mm7
Subtotal 408.00
Shipping Cost(UPS Ground) 0.00
Total $408.00
Please inspect product carefully If there are any problems or concerns with this shipment,please contact your
P P, Y
sales rep immediately. All returns must be accompanied by a Return Authorization Number(RA#),given to you
it
by your rep.Please note a 15%restocking fee will apply to all items returned to stock after 10 days of customer
receipt. If items are no longer in resalable condition and unable to be returned to stock no credit will be given.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Maxx Sunglasses
IN SUM OF$
P.O. Box 3110
Monument, CO 80132
$408.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1207 i 222569 I 43-560.06 $408.00 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, April 24, 2015
Director, Brooksh Golf 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))
02/27/15 222569 Sunglasses $408.00
1 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