HomeMy WebLinkAbout304631 10/31/16 4�u1 4�gyf
J/ �• CITY OF CARMEL, INDIANA VENDOR: T358994
ONE CIVIC SQUARE IGA/PGA, INC CHECK AMOUNT: $`•""••"120.00'
=a; CARMEL, INDIANA 46032 Po Box 516 CHECK NUMBER: 304631
9M�/tpNJ` FRANKLIN IN 46131 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2021734 120.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
IGA/PGA, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 516 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind 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.
$120.00 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
2021734 43-553.00 $120.00 1 hereby certify that the attached invoice(s),or 10/19/16 2021734 Dues $120.00
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
Friday, October 21,2016
Z-/v
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
Please Detach And Return Top Portion With Your Payment
INVOICE
CLUB NAME BILL DATE DUE DATE
Brookshire Golf Club 10/19/2016 11/19/2016
REF# DESCRIPTION FEE
2021734 New Members 6 Standard members @$20.00 $120.00
2021735 Existing members 229 Standard members @$0.00 $0.00
F�$120.00 If you have questions about your account,call 317-738-9696.
Message(s):
Indiana Golf WueGO/f