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323766 04/06/18
�ur.CSAM i" CITY OF CARMEL, INDIANA VENDOR: 365413 ® it ONE CIVIC SQUARE COBRA PUMA GOLF INC CHECK AMOUNT: $*****1,228.36* . CARMEL, INDIANA 46032 PO BOX 5834 CHECK NUMBER: 323766 CAROL STREAM IL 60197-5834 CHECK DATE: 04/06/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356006 G1256513 1,228.36 GOLF SOFTGOODS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 365413 COBRA PUMA GOLF INC IN SUM OF$ CITY OF CARMEL PO BOX 5834 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. CAROL STREAM, IL 60197-5834 Payee $1,228.36 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 G1256513 43-560.06 $1,228.36 1 hereby certify that the attached invoice(s),or 3/26/18 G1256513 Golf Soft Goods $1,228.36 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,April 02,2018 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer BILL TO NUMBER 'INVOICE'NWi,nBER�^;INVOICE,DATE-. -,-- :ST_ORE-NUMBER _--=; PICK LIST NUMBER_ ,,°+.SHIP VIA 020548 G1256513 2018-03-26 036817 G1256513 - --COBRA FEDEX GROUND- -- - GOLF ORDER NO. PURCHASE ORDER NUMBER $ALES•REP _ r'TERMS' SALES TYPE SHIP DATE V187351 PUMA31518A JEFF SALDUTTI NET 90 WS 2018-03-26 STYLE NUMBER COLOR' DESCRIPTION, SIZE QTY UNIT PRICE 'WHOLESALE EXTENDED AMOUNT AMOUNT 18942502 PBKPWT GRIP FUSION 10 1 48.00 48.00 48.00 18942502 PBKPWT GRIP FUSION 10.5 1 48.00 48.00 48.00 18942502 PBKPWT GRIP FUSION 11 1 48.00 48.00 48.00 18942502 PBKPWT GRIP FUSION 11.5 1 48.00 48.00 48.00 18942502 PBKPWT GRIP FUSION 12 1 48.00 48.00 48.00 18942502 PBKPWT GRIP FUSION 13 1 48.00 48.00 48.00 18942502 PBKPWT GRIP FUSION 9 1 48.00 48.00 48.00 18942502 PBKPWT GRIP FUSION 9.5 1 48.00 48.00 48.00 18942503 PWQSPB GRIP FUSION 10 1 48.00 48.00 48.00 18942503 PWQSPB GRIP FUSION 10.5 1 48.00 48.00 48.00 18942503 PWQSPB GRIP FUSION 11 1 48.00 48.00 48.00 18942503 PWQSPB GRIP FUSION 11.5 1 48.00 48.00 48.00 18942503 PWQSPB GRIP FUSION 12 1 48.00 48.00 48.00 18942503 PWQSPB GRIP FUSION 13 1 48.00 48.00 48.00 18942503 PWQSPB GRIP FUSION 9 1 48.00 48.00 48.00 18942503 PWQSPB GRIP FUSION 9.5 1 48.00 48.00 48.00 18942504 QRALBK GRIP FUSION 10 1 48.00 48.00 48.00 18942504 QRALBK GRIP FUSION 10.5 1 48.00 48.00 48.00 18942504 QRALBK GRIP FUSION 11 1 48.00 48.00 48.00 18942504 QRALBK GRIP FUSION 11.5 1 48.00 48.00 48.00 18942504 QRALBK GRIP FUSION 12 1 48.00 48.00 48.00 1 1842504___,4 -QRALBK GRIP FUSION ` _- _ 13 1 48.00_ _48.00 48.00_ 18942504 QRALBK GRIP FUSION 9 1 48.00 48.00 48.00 18942504 QRALBK GRIP FUSION 9.5 1 48.00 48.00 48.00 SUBTOTAL TAX FREIGHT, DISCOUNT' DISCOUNT-EXPIRES ON NET AMOUNT .' GROSS AMOUNT 1152.00 .00 76.36 .00 2018-03-26 1228.36 1228.36 MISC CHARGES .00 SHIP TO: BROOKSHIRE GOLF CLUB ATTN BRIAN BALLARD BOL.#: 12120 BROOKSHIRE PKWY DEPT.#: CARMEL,IN 46033-3314 TOTAL UNITS: 24 CTN TOTAL: 3 RETURN AUTHORIZATION REQUIRED. TRACKING/PRO BILL#: 428359500637 DISCOUNTS-All Discounts are subject to on time payment. 0001:0001 TO VIEW ONLINE GO TO: I http://cobrapuma.bilitrust.com 'USE THIS ENROLLMENT''CODE:I MFK TLK HS--S-1 Page 1 of 1