313095 06/28/2017 ``�.!'r Cgq�F
CITY OF CARMEL, INDIANA VENDOR: 361198
ONE CIVIC SQUARE NIKE USA INC CHECK AMOUNT: $'"***1,035.00*
Q CARMEL, INDIANA 46032 PO BOX 847648 CHECK NUMBER: 313095
;M, :+ DALLAS TX 75284-7648 CHECK DATE: 06/28/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
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. . NIKE GOLF &/ Customer Number: 272920 Invoice Number: 9904325465
Nike Order Number: 732384869 Invoice Date: 05/17/2017
INVOICE Nike Delivery Number: 608085379 Terns: Net 60
Customer PO No: COLTS Terms begin as of: 05/17/2017
Ordered by: Due Date: 07/16/2017
DUNS#:05-095-7364 Ordered on: 09/13/2016 Currency: USD
FEDERAL TAX ID#:93-124-3023
Original Invoice Number:
MAIL TO DELIVER GOODS TO
CITY OF CARMEL CITY OF CARMEL
BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY
12120 BROOKSHIRE PKWY BROOKSHIRE GOLF CLUB
CARMEL IN 46033-3314 CARMEL IN 46033-3314
Material Customer Product Description Size UOM Quantity Quantity Wholesale Net Unit Total
Product Code Ordered Shipped Unit Price Price
833059-480 NIKE BREATHE BOLD STRIPE M EA 1 1 32.50 42.50 42.50
L EA 2 2 32.50 42.50 85.00
XL EA 2 2 32.50 42.50 85.00
2XL EA 1 1 32.50 42.50 42.50
**Subtotals 6 6 195.00 255.00 255.00
833065480 NIKE BREATHE STRIPE POLO M EA 1 1 35.00 45.00 45.00
L EA 2 2 35.00 45.00 90.00
XL EA 2 2 35.00 45.00 90.00
2XL EA 1 1 35.00 45.00 45.00
**Subtotals 6 6 210.00 270.00 270.00
833067480 NIKE BREATHE COLOR BLOCK M EA 1 1 32.50 42.50 42.50
L EA 2 2 32.50 42.50 85.00
XL EA 2 2 32.50 42.50 85.00
2XL EA 1 1 32.50 42.50 42.50
**Subtotals 6 6 195.00 255.00 255.00
833071480 NIKE ICON ELITE POLO M EA 1 1 32.50 42.50 42.50
L EA 2 2 32.50 42.50 85.00
XL EA 2 2 32.50 42.50 85.00
2XL EA 1 1 32.50 42.50 42.50
**Subtotals 6 6 195.00 255.00 255.00
VAS Customer Charges included in Net Unit Price
All Nike USA,Inc.products are sold FCA(Free Carrier-Shipping Point)and payment terms are calculated from invoice date unless specifically noted otherwise by
Nike. A service charge of 1 %:% per month will be charged on all past due invoices. Anticipation discounts are not allowed. No returns without prior
authorization from Nike. Shortage claims must be made within 30 days of receipt. All collection fees and costs must be paid by purchaser. Detailed terms and
conditions on reverse side of page 1.
Please remit to: NIKE USA,Inc.
PO Box 847648
-00002729200104&llas TX 75284-7648 US
DAZEL:rNDEX:098 1000M1217272920 990432546520170517:DAZEL: Page 1 Of 4
. . NIKEGOLF &/ Customer Number: 272920 Invoice Number: 9904325465
Nike Order Number: 732384869 Invoice Date: 05/17/2017
INVOICE Nike Delivery Number: 608085379 Terms: Net 60
Customer PO No: COLTS Terms begin a;of: 05/17/2017
Ordered by: Due Date- 07/16/2017
DUNS#:05-095-7364 Ordered on: 09/13/2016 Currsnr;: USD
FEDERAL TAX ID#:93-124-3023
Original Invoice Number:
Shipped From: Nike Golf:Memphis
Date Shipped: 05/17/2017
Order Type: At-Once Order
Direct Ship Factory PO#:
Carrier: Federal Express
Mode of Transport: Standard
Incoterms: Free carrier
Weight: 16.670;9.080;
Bill of Lading Number:
Pro number:
Tracking Number: 058413370814318;058413370814325;
Packing list Number: 19343993
Number of Cartons: 2
Special Label Instructions:
Store ID:272920
Wholesale Amount Sales Net of Discount Freight Total
795.00 1,035.00 0.00 1,035.00
—0000272920020400—
DAZEL:INDEX:098 1000M1217272920 990932596520170517:DAZEL: Page 4 Of 4