245001 05/05/15 `�y.ceq,,f CITY OF CARMEL, INDIANA VENDOR: 359245
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ONE CIVIC SQUARE TAYLOR MADE GOLF COMPANY, INC CHECK AMOUNT: $***"*'121.81
f rq: CARMEL, INDIANA 46032 PO Box 406043 CHECK NUMBER: 245001
°�y��roN_�:` ATLANTA GA 30384-6043 CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356007 30728954 121.81 GOLF HARDGOODS
�. 5y Invoice Number A'""'' Number.
jaylorMader�
�.. ASHWO�ktH� 30728954 614109
Taylor Made Golf Company, Inc. lnvoiCe:Dat@ DueDate
5545 Fermi Court 04/23/15 06/22/15
Carlsbad,CA 92008-7324 `Terms Invoim.mount
NET 60 $121.81
For inquiries about your invoice,please call:800-888-2582
View and access your account on-line at tmag.biz Please; on Itemized Remittan°ce To: F
P.O.BOX 406043
ATLANTA,GA
30384-6043
BILL TO: SHIP TO: 540602
6881 MB 0.435 E0040X 10072 D1314979825 P2552557 0001:0001
BROOKSHIRE GOLF CLUB . BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY ATTN:PAUL BLOCKOMS
CARMEL IN 46033-3314 12120 BROOKSHIRE PARKWAY
Carmel,IN 46033
ORDER DATE ORDER# DELIVERY#, PURCHASE,ORDER# ;SHIP Uld TRACKING#
04/21/15 850341 1551481 CHESTER FEDEX-Parcel-Ground 961879874892477
ITEM:NO DESCRIPTION QTY UNIT PRICE EXTENDED DISCOUNT PRICE AFTER
SHIPPED,•' -„e, „ PRICE -- `DISCOUNT
TM—IRONS—MODEL Custom.RSi 1 $110.00 $110.00 $110.00
TP.M.RH.ST.3.Tour.S.Tour
Velvet Red Cap
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SUB
ethodrSUB TOTAL: 0 $110.001 $110.00
FREIGHT $11.81
VOUCHER NO. WARRANT NO.
ALLOWED 20
Taylor Made
IN SUM OF $
P.O. Box 406043
Atlanta, GA 30384-6043
$121.81
ON ACCOUNT OF APPROPRIATION-FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 30728954 I 43-560.07 I $121.81 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
Tuesday, April 28, 2015
Director, Brook a 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 OFCARMEL
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))
04/23/15 30728954 Club $121.81
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
120
Clerk-Treasurer