313059 06/28/2017 �,:aa.p'c�gye
>, � CITY OF CARMEL, INDIANA VENDOR: T358994
i ONE CIVIC SQUARE IGA/PGA, INC CHECK AMOUNT: $*****""203.00*
r° CARMEL, INDIANA 46032 PO BOX 516 CHECK NUMBER: 313059
+y. FRANKLIN IN 46131 CHECK DATE: 06/28/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2024453 203.00 ORGANIZATION & MEMBER
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INDIANA GOLF BILL DATE DUE DATE
06/19/2017 07/15/2017
C) OOO
BILLING INQUIRIES PAY THIS AMOUNT AMOUNT ENCLOSED
317-739-3015 $203.00
Promoting the Game,Honoring the Tradition.
❑ VISA ❑ ❑AMEX
Make checks payable to: IGA,Inc. Card Number ap.Date
Signature Security Cade
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 06/19/2017 07/15/2017
REF# DESCRIPTION FEE
2024451 New Members 13 Standard members @$21.00 $273.00
2024452 Existing members 205 Standard members @$0.00 $0.00
2024453 Online registrations(5/1-6/14) Credit for 2 Standard registration(s)@($35.00) ($70.00)
PAY THIS AMOUNT
If you have questions about your account,call 317-739-3015. $203.00
Message(s):
Indiana Golf .31ueGolf