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328769 08/14/2018 �or.c�gM �� CITY OF CARMEL, INDIANA VENDOR: T358994 `\. HECK AMOUNT: $********42.00* '.� ® � ONE CIVIC SQUARE IGA/PGA, INCINC �, CARMEL, INDIANA 46032 PO BOX 516 CHECK NUMBER: 328769 MUTON�. FRANKLIN IN 46131 CHECK DATE: 08/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 2029141 42.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# T358994 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IGA/PGA, INC IN SUM OF$ 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 $42.00 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 2029141 43-553.00 $42.00 1 hereby certify that the attached invoice(s),or 8/1/18 2029141 Member Dues $42.00 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,August 06, 2018 1 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 I V 1J1tiNA GOLF BILL DATE DUE DATE 08/01/2018 08/15/2018 d Argo 1� BILLING INQUIRIES PAY THIS AMOUNT AMOUNT ENCLOSED %00*610 0 397-739-3015 $42.00 Promoting the Game,Honoring the Tradition. ❑ VISA ❑ � ❑AMEX ❑ Discover Make checks payable to:IGA,Inc. Card Number Exp.Date Signature Security Code 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 08/01/2018 08/15/2018 REF# DESCRIPTION, FEE 2029139 New Members' 17 Standard members @$21.00 $357.00 2029140 Existing members 256 Standard members @$0.00 $0.00 2029141 Online registrations(6/1-7/31) Credit for 9 Standard registration(s)@($35.00) ($315.00) If you have questions about your account,call 317-739-3015. $42.00 Message(s): Indiana Golf <ueGolf