248848 08/26/15 r Coq-
yy.... ';' CITY OF CARMEL, INDIANA VENDOR: 359590
d it ONE CIVIC SQUARE H2 GOLF COMPANY CHECK AMOUNT: $""""""'313.60"
?� CARMEL, INDIANA 46032 32788 HUPA DRIVE CHECK NUMBER: 248848
>.y,_ .,.a, TEMECULA CA 92592 CHECK DATE: 08/26/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 34702 313.60 GOLF SOFTGOODS
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))
08/19/15 I 34702 I Soft Goods I $313.60
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
H2 Golf Company, LLC
IN SUM OF $
32788 Hupa Dr.
Temecula, CA 92592
$313.60
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
1207 I 34702 I 43-560.06 I $313.60 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
Thursday, August 20, 2015
Director, Brookshi olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund