248231 08/12/15 Q�( CITY OF CARMEL, INDIANA VENDOR: 369477
® ONE CIVIC SQUARE ARIZONA MANUFACTURING &EMBROICLWZK AMOUNT: $********80.43*
?� CARMEL, INDIANA 46032 1200 SOUTH PRIEST CHECK NUMBER: 248231
9,,,.,__ TEMPA AZ 85281 CHECK DATE: 08/12/15
t «ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 00600231 80.43 GOLF SOFTGOODS
Arizona Manufacturing&Embroidery INVOICE •
1200 South Priest,Tempe,Arizona 85281
www.amegolf.net Purchase Order: -
® 1-800-528-6480
♦ 0 Customer#: 4112
1-800-554-7554 Fax
Invoice Date: 8/4/2015
SO1dyTp BROOKSHIRE GOLF CLUB $®n ; BROOKSHIRE GOLF CLUB
ATTN:ACCOUNTS PAYABLE ATTN:GOLF SHOP
12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY
CARMEL,IN 46033 CARMEL,IN 46033
U.S.A. F` U.S.A.
w 4 3178467422 AW :3178467431
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- - 501348—° -7/20/2015 1 -21 1 -FEDEX-FedEx-Ground — :- —EMAIL REP TOM- _ Net-30 --� —
Line Item Item Details Base Price Ro al Unit Price Quanti Extended Price
1 Headcover-StretchFur Reverb Driver-White Ultraleather-Black Stretchfur $20.00 $20.00 1 20.00
Logo and Name"Brookshire Golf Club"+'Pete
Stauffer'Head#1
2 Headcover-StretchFur Reverb Fairway-White Ultraleather-Black Stretchfur $18.00 $18.00 1 18.00
Logo and Name"Brookshire Golf Club"+'Pete
Stauffer'Head#3
3 Headcover-StretchFur Reverb Utility-White Ultraleather-Black Stretchfur $18.00 $18.00 1 18.00
Logo and Name"Brookshire Golf Club"+'Pete
Stauffer'Head#X
4 Standard Putter Cover White Ultra Leather-Black Shearling $16.00 $16.00 1 16.00
Logo"Brookshire Golf Club"Name'Pete Stauffer'
Subtotal: $72.00
Sales Tax: $0.00
Freight: $8.43
Total: $80.43
Page 1 of 1
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Arizona Manufacturing & Embroidery
IN SUM OF$
1200 South Priest
Tempe, AZ 85281
$80.43
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 00600231 I 43-560.06 I $80.43 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
Monday, August 10, 2015
Director, Brooks &re 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))
08/04/15 00600231 Soft Goods $80.43
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