HomeMy WebLinkAbout249342 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 369144
a;
ONE CIVIC SQUARE LSO. FUNDING GROUP LC CHECK AMOUNT: S"'"`""66.75`
r ?� CARMEL, INDIANA 46032 PO BOX 404322 CHECK NUMBER: 249342
ATLANTA GA 30384-4322 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 713238499 66.75 GOLF SOFTGOODS
new ltd I nvoice
d L F Acct. No. Date Invoice#
20005615 8/1412015 IN V713238499
Klone Lab Check Payable To:
9 Water Street, 3rd Floor LSQ Funding Group, L.C.
Amesbury MA 01913 P.O. Box 404322
978-378-3434 Atlanta, GA 30384-4322
Bili To Ship To
City of Cannel City of Carmel
Brookshire Golf Course Brookshire Golf Course
12120 Brookshire Pk«ry 12120 Brookshire Pkwv
iCannel IN 46033 Cannel IN 46033
Terms Due Date PO# #of Units Billed Sales Rep
Net 60 10!1312015 Henry 0 Tom Richardson
Currency Shipping Method Tracking#
US Dollar UPS Ground IZ,86402F0300661185
Style Description Quantity Price Level Unit Price Amount
IQBG17011VK-8.5 2E NBG1701 1 Base Price 55.00 55.00
This account is assigned and payable only to LSQ Funding
Group,L.C. Subtotal 55.00
Pavments should be sent to them at: Shipping and Aandling(UN Ground) 11.75
LSQ Funding Group,L.C. Total 66.75
P.O.Box 404322 Amount Due $66.75
Atlanta,GA 30384-4322
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))
08/14/15 INV713238499 Shoes $66.75
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
LSQ Funding Group, L.C.
IN SUM OF $
P.O. Box 404322
Atlanta, GA 30384-4322
$66.75
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
1207 I INV713238499 I 43-560.06 I $66.75 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
Wednesday, August 26, 2015
Director, Brookshire G f Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund