HomeMy WebLinkAbout260210 06/28/16 .°'`"A+, CITY OF CARMEL, INDIANA VENDOR: T358994
`/ 4 . HECK AMOUNT: $*******375.00*
.�; �b ., ONE CIVIC SQUARE IGA/PGA, INCINC
a CARMEL, INDIANA 46032 Po Box 516 CHECK NUMBER: 260210
by«oN FRANKLIN IN 46131 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2020399 375.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
IGA/PGA, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 516 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:Idnd of service,where performed,dates service
FRANKLIN, IN 46131 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$375.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# .AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
2020399 43-553.00 $375.00 1 hereby certify that the attached invoice(s),or 6/15/16 2020399 Dues $375.00
1207 101 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
Monday,June 20,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INDIANA GOLF "BILL DATE --",-DUE DATE.'
06/15/2016 07/15/2016
0. 04) 0
BILLING INQUIRIES .PAY THIS`AMOUNT. AMOUNT ENCLOSED
317-738-9696 $375.00
Promoting the Game,Honoring the Tradition.
❑ VISA ❑ ❑ AMEX
Make checks payable to:IGA-PGA, Inc. Card Number Exp.Date
Signature Security Code
• •�-
Indiana Golf Office Brookshire Golf Club
PO Box 516 12120 Brookshire Pkwy
Franklin, IN 46131 Carmel, IN 46033-3314
Please Detach And Return Top Portion With Your Payment
INVOICE
CLUB NAME ::: > _: .. BILL DATE. DUE DATE
Brookshire Golf Club 06/15/2016 07/15/2016
REF# ;