248228 08/1 2/1 5 ��p"• CITY OF CARMEL, INDIANA VENDOR: 361326
7 ONE CIVIC SQUARE THE ANTIGUA GROUP INC CHECK AMOUNT: $****'**561.05*
CARMEL, INDIANA 46032 2903 PAYSHERE CIRCLE CHECK NUMBER: 248228
9y��TON, ` CHICAGO IL 60674 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 004219394 561.05 GOLF SOFTGOODS
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Customer No, Invoice No PO.No ' , Invoice Date Order No Dely 00, Terms
45272 004219394 BSLICENS72415 07/24/2015 0001539835 2578229 Net 30 DAYS
Salesperson Delivery Method Invoice Due Date Order Date - Ship Date
Jeff Saldutti UPS Ground Delivery 08/24/2015 10/06/2014 07/24/2015
Style-'Color Description _ Price _, �: Size Table Glty ''Line Total
E28357-INDIANA UNIV(')IU IND-Left Chest
MENS TOPS X2 XS SM MD LG XL 2X 3X 4X 5X
100542-356 ELITE DRD/BLA 23.00 1 1 2 46.00
100784-356ICON DKRED/BLACK 23.00 1 1 2 46.00.
100784-555 ICON BLA/DRD 23.00 1 1 23.00
100874-703 DELUXE BLA/DRD/WHI 24.25 1 1 2 48.50.
100874-943 DELUXE DARKRED/WHITE/STEEL 24.25 1 1 2 48.50
100876-224 FUSION WHI/SLV 23.00 1 1 2 46.00
Total: 6 5 11 $258.00
E42217-PURDUE UNIV W/SLANT P CLC-Left Chest
MENS TOPS X2 XS SM MD LG XL 2X 3X 4X 5X
100542-918 ELITE BLACK/GOLD 23.00 1 1 2 46.00
100542-918 ELITE BLACK/GOLD 24.00 1 1 24.00
100784-918 ICON BLA/GLD 23.00 1 1 1 3 69.00
100874-967 DELUXE BLACK/GOLD/WHITE 24.25 2 1 3 72.75
100943-001 ILLUSION WHI 24.25 1 2 3 72.75
Total: 1 5 5 1 12 $284.50
Subtotal $542.50
Freight $18.55
Order Total $561.05
Please remit$561.05 due by 08/24/2015 Remit Address:The Antigua Group,Inc.2903 Paysphere Circle,Chicago,1160674
ANTIGUI ,
c • • • A
Activate your online billing
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Total Quantity_ TOTAL DUE- ,
TO VIEW AND PAY ONLINE GOTO: https:/Iesc.antigua.com 23 $561.05-
Page
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0001:0001 INTEREST WILL BE CHARGED AT THE RATE OF 1.75%PER MONTH
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Antigua Group, Inc.
IN SUM OF$
2903 Paysphere Circle
Chicago, IL 60674
$561.05
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 004219394 I 43-560.06 I $561.05 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, July 31, 2015
Director, Brookshire Iffif 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))
07/24/15 004219394 Golf Soft Goods $561.05
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
120
Clerk-Treasurer