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319804 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 359348- k•! d ONE CIVIC SQUARE CALLAWAY GOLF COMPANY CHECK AMOUNT: S""`"208.79` CARMEL, INDIANA 46032 PD Box 9002 CHECK NUMBER: 319804 9M�rod�o. CARLSBAD CA 92018-9002 CHECK DATE: 12/21/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356007 928461608 208.79 GOLF HARDGOODS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 359348 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CALLAWAY GOLF COMPANY IN SUM OF$ CITY OF CARMEL PO BOX 9002 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CARLSBAD, CA 92018-9002 Payee $208.79 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 928461608 43-560.07 $208.79 1 hereby certify that the attached invoice(s),or 11/30/17 928461608 Club $208.79 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, December 08,2017 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer �rACCOUN--UMBER-- -INVOICE __ ­!NVOICE;DAT.c - 15546 928461608 11/30/17 Phil Net Due 60 days REP ORDER DATE ORDER:# CONTACT,NAME_,. SHIP...VIA_ „; REFERENCE ,,NET DUE DATE 939 11/29/17 39627245 Brian UPS3DAY/GNDRATEE 01/29/18 ITEM. STOCK NUMBER DESCRIPTION,- ORDER' SHIP, B.O.. , LIST PRICE;. =.DISCOUNT NET PRICE, ...`EXTENSION DELIVERY NO 824071695 10 4386S RH EPIC 3H RECOIL ES 780 F3 RE 1 1 230.00 0.14 197.80 197.80 Shaft:*0.50* *Male Grip:*Wrp:+2 Wra (1/32")*Logo Up* *HCVR:Mens*5716 59* TRACKING NO 1ZV8084F6700046352 .Haat ions "This is a friendly reminder to make ALL checks payable to Callaway Golf. If you would like to make a wire payment please ®� . contact us at 1-800-228-2767 option 3 for more information.' 0000P: 000�: o:s SUBTOTAL 197.80 Make your payment online—CallawayConnect.com Track your shipment—UPS.com FRT CHARGE 10.99 BILL TO: CITY OF CARMEL `Ia� BROOKSHIRE GOLF CLUB `1 P.O.BOX 9002 12120 BROOKSHIRE PKWY �a� d�. CARLSBAD,CA 92018-9002 CARMEL IN 46033-3314 TELEPHONE(760)931-1771 TOTAL DUE 208.79 TOLL FREE(800)228-2767 SHIP TO: BROOKSHIRE GOLF CLUB RETURN AUTHORIZATION REQUIRED. CITY OF CARMEL ALL U.S.SALES MADE BY&SHIPPED BY CALLAWAY GOLF SALES COMPANY. CAR LIN 46033-3 PKWY CARMEL IN 46033-3314 Page 1 of 1 0001:0001