251266 11/04/15 y�,-CIIAb
CITY OF CARMEL, INDIANA VENDOR: 359245
`'/ �F� CHECK AMOUNT: S•"*""'35.55`
•;s ,I• ONE CIVIC SQUARE TAYLOR MADE GOLF COMPANY, INC
r. ?�.
CARMEL, INDIANA 46032 Po BOX 406043 CHECK NUMBER: 251266
�.y,�TON,�°` ATLANTA GA 30384-6043 CHECK DATE: 11/04115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356007 31163438 35.55 GOLF HARDGOODS
ice. +�: � , Invoice°Number:�_ ' ' Account�Number,P=.
� 1
a lorMade" .~ ASHWORTH"
�� '� �� 31163438 614109
Taylor Made Golf Company,Inc. -=lnvoice:Date , Due=Date
5545 Fermi Court 09/29/15 11/28/15
Carlsbad,CA 92008-7324
!, Terms ! , Invoice Amount'.
For inquiries about your invoice,please call:800-888-2582 NET 60 $35.55
View Iterjized.RemittanCe To:
View and access your account on-line at tmag.biz
P.O.BOX 406043
ATLANTA,GA
30384-6043
BILL TO: SHIP TO: 540602
96951 AB 0.416 E0008X 1007 D1485595132 P2859689 0001:0001
1I111i1111111iili1Jill lii�lilil�i�llli�ilili�l�l��l1n1Jill III
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY ATTN:PAUL BLOCKOMS
CARMEL IN 46033-3314 12120 BROOKSHIRE PARKWAY
Carmel,IN 46033
ORDEMiATE.' ORDER# DELIVERY#= ` PURCHASE.ORDER=#, `SHIP VIP TRACKING#-
-- 09/28/15---1285150— -2283758 -- -Noodle-Golf Balls— --FEDEX=ParceF-Ground—701768473003257— —
ITEM NO z = DESCRIPTION 3... p C RIDE AFTER
QTY„ E EXTENDED P
SHIPPED UNIT R y„ PRICE DISCOUNT
DISCOUNT ",
Noodle Golf Balls//Brian/Len
tz(RCJ)
A3415201 ND14 Long and Soft 15pk 3 $11.00 $33.00 $33.00
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SUB TOTAL: 0 $33.00 $33.00
FREIGHT $2.55
Total Inv.Amt: $35.55
A monthly late payment charge of 1.5%is made on an yy balance unpaid after due date.
This order is subject to the terms and conditions set forth in the TaylorMade-adidas Golf Company policies available online at tmag.biz.
Account Number , 614109
;�aylorMadeASHwotiHInvoice Number31163438
Remit To: liiv it a Date 09/29/15
P.O.BOX 406043
Due Date b't' . 11/28/15
ATLANTA,GA __ ___ "'
___ _ --__,- Tdtal Aruount,Due_�� $35.55 - - ----
30384=6043 —— If Paid.By:`�1'1/28/15 $35.55
0001:0001 Pagel of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Taylor Made
IN SUM OF $
P.O. Box 406043
Atlanta, GA 30384-6043
$35.55
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 31163438 I 43-560.07 I $35.55 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, October 21, 2015
Director, Brooksh a Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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
i
Purchase Order No.
Terms
I
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
09/29/15 31163438 Balls $35.55
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