HomeMy WebLinkAbout324686 4/30/2018 (9,
CITY OF CARMEL, INDIANA VENDOR: 363630ONE CIVIC SQUARE CLEVELANDGOLF/SRIXON CHECK AMOUNT: S*******295.30*
CARMEL, INDIANA 46032 PO BOX 3355 CHECK NUMBER: 324686
DALLAS TX 75312-3355 CHECK DATE: 04/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356007 5360882SO 295.30 GOLF HARDGOODS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 363630 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CLEVELAND GOLF/SRIXON IN SUM OF$ CITY OF CARMEL
PO BOX 3-15'-5' 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.
Payee
$295.30
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
5360882 SO 43-560.07 $295.30 1 hereby certify that the attached invoice(s),or 4/18/18 5360882 SO Clubs $295.30
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
Tuesday,April 24,2018
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
SRIXON3 I ce Cleanl�vtd' I Xx6O Invoice
Avow
Page Number: 1
Invoice Date: 04/18/2018
Bill To No.: 106747
California(714)889-1300 Ship To No.: 106747
National (800)999-6263 Order No.: 60243399 SO
Fax (714)889-5890 Invoice: 5360882 SO
Terms
NET 60 DAYS
CITY OF CARMEL CITY OF CARMEL
PAM LISTER PAM LISTER
DBA BROOKSHIRE GOLF CLUB DBA BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY
CARMEL IN 46032 CARMEL IN 46032
Re uested Date Custoimer P.O. ` :' Freight Terms., Salesrep I ShippinkInstructions
04/24/2018 ROD FOB-Huntington Beach, Salwak,Glenn
Item No Description Ordered Quantity Gross Disc% Unit Extended
Shipped Price Net Net Price
11040517 Cleveland CBX 48 1 1 93.50 0 93.50 93.50
11040717 Cleveland CBX 52 1 1 93.50 0 93.50 93.50
11040917 Cleveland CBX 56 1 1 93.50 0 93.50 93.50
FREIGHT FedEx Ground 092516672319292 1 1 14.80 0 14.80 14.80
Invoice Summary
Product Total Taxes Frei ht Total Net Due Date
280.50 1 14.80 295.30 1 06/17/2018
-REMITTANCE ADDRESS: -
CITY OF CARMEL Bill To No.: 106747 •
Please make your check payable to PAM LISTER
SRIXON/Cleveland Golf/XXIO DBA BROOKSHIRE GOLF CLUB Ship To No.: 106747
12120 BROOKSHIRE PARKWAY
SRIXON/Cleveland Golf/XXIO CARMEL IN 46032 Invoice: 5360882 SO
Dept.3355 Order Net: 295.30 $
P.O.Box 123355
Dallas,TX 75312-3355
CCkj
Pick Ticket#(s) 6702240 Pick Ticket#is located in the
SRIXON' l Ckndl X /O Middle right hand portion of the
Packing List that accompanied the
Shipment.