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Home My WebLink About257476 04/12/16 �%' \f`_ CITY OF CARMEL, INDIANA VENDOR: 369144 ® .i ONE CIVIC SQUARE LSO FUNDING GROUP LC CHECK AMOUNT: $'•"'1,473.92` :. ?� CARMEL, INDIANA 46032 PO BOX 404322 CHECK NUMBER: 257476 9.`�,iroN'�`9 ATLANTA GA 30384-4322 CHECK DATE: 04/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356006 INV713252669 1,473.92 GOLF SOFTGOODS VOUCHER NO. WARRANT NO. ALLOWED 20 LSQ FUNDING GROUP LC PO BOX 404322 IN SUM OF$ ATLANTA, GA 30384-4322 $1,473.92 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members I INV713252669 I 43-560.06 I $1,473.92 1 hereby certify that the attached invoice(s), or 1207 101 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 Tuesday, April 05, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund 'rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL \n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by vhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due nvoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 03/28/16 I INV713252669 I Golf Soft Goods I $1,473.92 1207 101 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 .. he now., P. Id .I- -`-e Invoice 1` L.: F Acct. No. Date Invoice# 20005615 3/28!2016 INV713252669 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 Bill To Ship To City of Cannel City of Carmel Brookshire Golf Course Brookshire Golf Course 12120 Brookshire Pkwy 12120 Brookshire Pkwy Carmel IN 46033 Carmel IN 46033 Page 1 of 2 Terms Due Date PO# #of Units Billed Sales Rep Net 60 5.%27/2016 104151 0 Tom Richardson Currency Shipping Method Tracking# 1Z86402F0300822177IZ86402FO300822368 US Dollar UPS Ground 1Z86402F0300822386 1Z86402F0300822395 Style Description Quantity Price Level Unit Price Amount NBG1701WK-10 2E NBG1701 1 Base Price 55.00 55.00 IrBG1701WK-10.5 2E NBG1701 1 Base Price 55.00 55.00 NBG1701WK-112E N13G1701 1 Base Price 55.00 55.00 NBG574BWT 9 D NBCT574B 1 Base Price 55.00 55.00 NBG574BWT 10 D NBG574B I Base Price 55.00 55.00 NBG574BWT--1 I D NBG574B I Base Price 55.00 55.00 NBG574BBRD-9.5 D NBG574B 1 Base Price 55.00 55,00 NBG574BBRD-10.5 D NBG574B i 1 Base Price 55.00 55.00 NBGS 74BBRD-1.1.5 D NBG574B 1 Base Price 55.00 55.00 NBG1005GRG-9 D Men's Minimus 1 Base Price 60.00 60.00 NB01005GRG-10 D Men's Minimus I Base Price 60.00 60.00 NBG1005GRG-11 D M.en'sMinimus 1 Base Price 60.00 60.00 NBG1005BK-10.5 D Men's Minimus 1 Base Price 60.00 60.00 NBG1005BK-11.5 D Men's Minimus 1 Base Price 60.00 60.00 NBG1005GRO-10 D Men's Minimus I Base Price 60.00 60.00 NBG1005GRO-10.5 D Men's Minimus 1 Base Price 60.00 60.00 NBG1005GRO-11 D Men's Minimus I Base Price 60.00 60.00 N13GW1001GR-7 B Women's Minimus Sport 1 Base Price 55.00 55.00 NBGW 1001 GR-8 B Women's Minimus Sport 1 Base Price 55.00 55.00 NBGW1001GR-9 B Women's Minimus Sport 1 Base Price 55.00 55.00 NBGW 1001 WT-7.5 B Women's Minimus Sport 1 Base Price 55.00 55.00 NBGW1001WT 8.5 B Women's Minimus Sport 1 Base Price 55.00 55.00 NBGW1001WT-9.5 B Women's Minimus Sport 1 Base Price 55.00 55.00 NBGW 1001PU-6.5 B Women's Minimus Sport 1 Base Price 55.00 55.00 Invoice Acct.No. Date Invoice# 20005615 3t28t2016 1N V713252669 Klone Lab 9 Water Street,3rd Floor Amesbury MA 01913 978-378-3434 Bill To Ship To City of Cannel City of Carmel Brookshire Golf Course Brookshire Golf Course 12120 Brookshire Pkwy 12120 Brookshire Pkwy Cannel IN 46033 Cannel IN 46033 Page 2 of 2 Nyle Description Quantity Price level Unit Price Amount NBGW 1001PU-7.5 B Women's Minimus Sport 1 Base Price 55.00 55.00 This account is assigned and payable only to LSQ Funding Group,L.C. Subtotal 1,415.00 Payments should be sent to them at: Shipping and Handling(UPS Ground) 58.92 LSQ Funding,Group,L.C. I Total 1,473.92 P.O.Box 404322 Amount Due $1,473.92 Atlanta,GA 30384-4322