251035 11/04/15 CITY OF CARMEL, INDIANA VENDOR: 365413
d ONE CIVIC SQUARE COBRA PUMA GOLF INC CHECK AMOUNT: $*******128.19*
CARMEL, INDIANA 46032 PO BOX 5834 CHECK NUMBER: 251035
v CAROL STREAM IL 60197-5834 CHECK DATE: 11/04/15
M�roH�o.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356007 X195813 128.19 GOLF HARDGOODS
0
BILL TO NUMBER ;'INVOICE_NUMBER,:;INVOICE DATE S<; ,STOREA UMBER' , ";;'._° PICK LIST.NUMBERs ',>:s^',- ;;,.,.;'' ':..SHIP,VIA''`
020548 X195813 2015-10-13 036817 COBRA FEDEX GROUND
�.y..-3'a. kms...
GOCF'ORDER NO: ''.,'-PURCHASE;ORDER NUMBER'E` •S. ".:SALES REP .=_* r- -, TERMS,:,,, SALES TYPE'_ ;. SHIP,OATE3,
C646610 WAKINS JEFF SALDUTTI NET 60 WS 2015-10-13
k; <„x ?'„; ?, :.; :. ,'.WHOLESALE” EXTENDED''
"STYLE NUMBER µA DESCRIPTION.. Y.. SIZE',w .QTY” UNIT PRICE �,
.._. ........ ..... . .>. .,... ,..AMOUNT:-�. AMOUN
2267R FLY-Z XL HYB GPH REG 3H RH NS 1 109.00 109.00 109.00
SHAFT AND FLEX CBR FLY-Z HYB REG
GRIP AND SIZE CBR FLY-Z XL BLK
LENGTH STANDARD
LOFT STANDARD
LIE STANDARD
SWING WEIGHT STANDARD
GRIND STANDARD
225892900 HC FLY-Z HYB MN NS 1 9.00 9.00 9.00
A Monthly Finance Charge of 1.5% will be
applied to any Invoices unpaid after due date
'FREIGHT, _a," >:r_:=° -DISCOUNT ";`>i,' DISCOUNT EXPIRES'ON NET AMOUNT" :'".=.GROSS;AMOUNT-•;
118.00 0.00 10.19 0.00 2015-10-13 128.19 128.19
;,',%MISC CHARGES,p": SHIP TO: BROOKSHIRE GOLF CLUB
0.00 ATTN BRIAN BALLARD
PRO#-. 650739093898 12120 BROOKSHIRE PKWY
DEPT.#: CARMEL,IN 46033-3314
TOTAL UNITS: 2
CTN TOTAL: 0 RETURN AUTHORIZATION REQUIRED.
TRACKING/PRO BILL#: 650739093898 DISCOUNTS—All Discounts are subject to on time payment.
'TO:VIEW ONLINE GO TO: http://cobrapuma.bilitrust.com I',USETHIS ENROLLMENT CODE: I MFK TLK HSS Page 1 Of 1
0001:0001
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))
10/13/15 X195813 Club $128.19
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
Cobra Puma Golf, Inc.
IN SUM OF $
P.O. Box 5834
Carol Stream, IL 60197-5834
$128.19
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I X195813 I 43-560.07 I $128.19 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 26, 2015
Director, Brool shi' off Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund