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CITY OF CARMEL, INDIANA VENDOR: 369994t �;ONE CIVIC SQUARE J & M GOLF CHECKAMOUNT: S 307.29CARMEL, INDIANA 46032 319 INDUSTRIAL DRIVE CHECK NUMBER: 304050
GRIFFITH IN 46319 CHECK DATE: 10/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 0510365-IN 307.29 GOLF SOFTGOODS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
J & M GOLF ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
319 INDUSTRIAL DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
GRIFFITH, IN 46319 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$307.29 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
0510365-IN 43-560.06 $307.29 1 hereby certify that the attached invoice(s),or 9/28/16 0510365-IN Golf Soft Goods $307.29
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
Friday,September 30,2016
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and 1 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
Invoice Page: 1
J & M GOLF ����^
e, r.,�^ � Invoice Number: 0510365-IN
319 Industrial Drive ���`��`_"� Invoice Date: 9/28/2016
Griffith,Indiana 46319 T T�
Order Number: 0508967
(800)346-7788 O , ^' "� Order Date 9/28/2016
(219) 922-1787 ® salesperson: 0088
FAX: (219) 922-8369 Customer Number: 4603304
CITY OF CARMEL BROOKSHIRE GOLF CLUB
d/b/a BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY
12120 BROOKSHIRE PKWY Carmel,IN 46033
Carmel,IN 46033
ZONE-2 NET 30
JS
90238 2-3/4 100ct P-LGTH WHT 25 25 0 2.50 62.50
90239 3-1/4 75ct P-LGTH+WHT 25 25 0 2.50 62.50
87369 100ct 2-3/4 NATURAL 25 25 0 2.00 50.00
87800 75ct 3-1/4 NATURAL 25 25 0 2.00 50.00
75660 FLY TEE 2-3/4"WHITE 4 4 0 3.30 13.20
75670 FLY TEE 3-1/4"WHITE 4 4 0 3.30 13.20
87461 28ct 2-3/4"STNGR ProXL 6 6 0 1.00 6.00
87463 25ct 3-1/4"STNGR ProXL 6 6 0 1.00 6.00
87824 25ct 2-3/4 STPDN NAT 4 4 0 1.60 6.40
80243 MARTINI TEE 5pk MIX 6 6 0 3.25 19.50
JM BOXES BY J.M. 1 1 0 0.00 0.00
Net Invoice: 289.30
Less Discount: 0.00
Freight: 17.99
Sales Tax: 0.00
Invoice Total: 307.29
307.29