250443 10/07/15 "F CITY OF CARMEL, INDIANA VENDOR: 359246
® ; ONE CIVIC SQUARE TITLEIST CHECK AMOUNT: S""""111.79`
?� CARMEL, INDIANA 46032 PO Box 88112 CHECK NUMBER: 250443
+Mrso,r'�� CHICAGO IL 60695-1112 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 901410078 111.79 GOLF SOFTGOODS
�� ACUSHNEi' COMPANY AN 0
P.O. BOX 965 FAIRHAVEN, MA 02719-0965 rej
Tel: 800-226-8500 Fax: 508-979-3913
INVOICE
Currency: USD
Tax No: 04-2591836
Invoice No Invoice Date Shipment Date Order Date
901410078 09/29/15 09/29/15 09/28/15
Order No Whs Delivery No Customer P.O. Account No
3011219307 06B 4671473 RYDER CUP US00020548 \ US00036817
Sold To Ship To
CITY OF CARMEL BROOKSHIRE GOLF CLUB
BROOKSHIRE GOLF CLUB ATTN BRIAN BALLARD
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL IN 46033-3314 CARMEL IN 46033-3314
Remit To Payment Terms Due Date
Acushnet Company Net 60 Days 11/28/15
P.O. Box 88112 Payment Discount
Chicago, IL 60695-1112 2%30 Days
Delivery Method
FedEx Ground
Item No Shipped U/M Unit Disc Disc Disc Cstm Net Extended
Description City Price 1 2 3 Chr s Price
TH5AMC-1 12 EA $12.50 $42.00 $9.00 $108.00
Till Mesh/Canvas Adj White Accss Closeouts
Total Shipped Qty. 12
Net Order Total $108.00
Shipping and Handling Total $5.95
Total Invoice $113.95
If paid by 10/29/15 deduct discount of$2.16(2.00%)--REMIT$111.79
Invoices not paid within thirty(30)days of due date shall incur a service charge at the rate of the lesser of one and one-half
percent(1.5%)per month or the highest rate permitted by law on any outstanding overdue balance from original due date.
SEE REVERSE SIDE FOR CONDITIONS OF SALE.
OIS1990H Page 1 of 1 USA
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))
09/29/15 I 901410078 I Golf Saft Goods I $111.79
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Titleist
IN SUM OF $
P.O. Box 88112
Chicago, IL 60695-1112
$111.79
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 901410078 I 43-560.06 I $111.79 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, October 01, 2015
Director, BrookshM6 Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund