322272 02/27/2018 V hi
CITY OF CARMEL, INDIANA VENDOR: T358994
<.j; d �• ONE CIVIC SQUARE IGA/PGA, INC CHECK AMOUNT: $*******565.00*
CARMEL, INDIANA 46032 PO BOX 516 CHECK NUMBER: 322272
? FRANKLIN IN. 46131 CHECK DATE: 02/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2026711 565.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# T358994 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IGA/PGA, INC IN SUM OF$ CITY OF CARMEL
PO BOX 516 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.
FRANKLIN, IN 46131
Payee
$565.00
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
2026711 43-553.00 $565.00 1 hereby certify that the attached invoice(s),or 2/15/18 2026711 Member Dues $565.00
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
Monday, February 19,2018
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
Pidase Detach And Return,Top Portion With Your Payment
INVOICE
CLUB NAME :BILL DATE ' . DUE DATE
Brookshire Golf Club, 02)15/2018 03/02/201.8
REF# ' ' . . DESCRIPTION. FEE
2026710 Club dues Association fee $250.00
2026711 2018. Minimum Fees Billing Annual 95.Member Minimum at$21.00 . $31.5.00
If you have questions about your account,call.317-739-3015. '$565.bbi.
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