HomeMy WebLinkAbout250334 10/07/15 �y ���*Ff
�; CITY OF CARMEL, INDIANA VENDOR: 368039
® tl ONE CIVIC SQUARE LORENTE CHECK AMOUNT: $**.....201.25*
CARMEL, INDIANA 46032 4435 SIMONTON ROAD CHECK NUMBER: 250334
°.y.__ .o, FARMERS BRANCH TX 75244 CHECK DATE: 10/07/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 230848 201.25 GOLF SOFTGOODS
4435 Simonton Rd. Invoice
Farmers Branch, TX 75244 Invoice Number:
Tel: 877-281-6469 - Fax: 214-572-0415 230848
E-Mail: sales@Jorente.us
Web Site: www.lorente.us Invoice Date:
May 20,2015
�•, Page:
1
Sold To: Ship to:
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Pkwy. Attn: Brian Ballard
Carmel, IN 46033 12120 Brookshire Pkwy.
United States Carmel, IN 46033
United States
Sale Order I Customer PO I Sales Rep I Payment Terms —
145608 Bag Tags tomric Net 30 Days
Customer Fax Shipping Method Ship Date Due Date
FedEx Ground 5/19/15 6/20/15
Qty On Order Qty Shipped Backordered Item Description Unit Price Extension
100 100 BT 305 ColorMagic BT-Shield w/Channel- 1 Side- 1.90 190.00
Brookshire Golf Club
100 100 PST Red Plastic Bag Tag Strap- Red
Fed Ex Tracking 6187 9367 2490
ST 2�'v
IDUE410
WE WOULD APPRECIATE YOUM
PAYMENT TODAY!
For your conmience,we accept the American ExpreseCard
and other major credit cards.
Please fill in the information below. Subtotal: 190.00
--
Mo. Yr. Freight: 11.25
Account Number Expiration Date
X $ Sales Tax:
Cardmember Signature Amount Date
wE �� VISA Total Invoice Amount 201.25
Payment Received: 0.00
TOTAL: 201.25
THANK YOU FOR YOUR CONTINUED BUSWESS.
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
i
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))
05/20/15 230848 Bag Tags $201.25
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
Lorente
IN SUM OF $
4435 Sinonton Rd.
Farmers Branch, TX 75244
$201.25
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 230848 I 43-560.06 I $201.25 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, October 05, 2015
a
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund