248406 08/1 2/1 5 a o,.5�g3
`l CITY OF CARMEL, INDIANA VENDOR: 368523
CHECK AMOUNT: $*******241.02*
.I ® �• ONE CIVIC SQUARE J&M GOLF
s =a; CARMEL, INDIANA 46032 319 INDUSTRIAL DRIVE CHECK NUMBER: 248406
�.y�oN�` GRIFFITH IN 46319 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 0481882—IN 241.02 GOLF SOFTGOODS
Invoice Page: 1
J & M GOLF Invoice Number: 0481882-IN
319 Industrial Drive Invoice Date: 7/27/2015
Griffith,Indiana 46319 �(�O T T�
Order Number: 0480355
(800)346-7788 O �'^' Order Date 7/27/2015
(219)922-1787 salesperson: 0088
FAX: (219) 922-8369 Customer Number: 4603304
CITY OF CARMEL BROOKSHIRE GOLF CLUB
d/b/a BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY
12120 BROOKSHIRE PKWY Carmel,IN 46033
Cannel,IN 46033
ZONE-2 NET 30
SC
90239 3-1/4 75ct P-LGTH+WHT 25 25 0 2.50 62.50
90238 2-3/4 100ct P-LGTH WHT 25 25 0 2.50 62.50
87800 75ct 3-1/4 NATURAL 25 25 0 2.00 50.00
87369 10 Oct 2-3/4 NATURAL 25 25 0 2.00 50.00
JM BOXES BY J.M. 1 1 0 0.00 0.00
Net Invoice: 225.00
Less Discount: 0.00
Freight: 16.02
Sales Tax: 0.00
Invoice Total: 241.02
241.02
VOUCHER NO. WARRANT NO.
ALLOWED 20
J & MGolf
IN SUM OF$
319 Industrial Drive
Griffith, IN 46319
$241.02
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 0481882-IN I 43-560.06 I $241.02 I 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
Wednesday, July 29, 2015
director, BrookshireV eclub
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))
07/27/15 0481882-IN Soft Goods $241.02
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