331005 10/09/18 Q
CITY OF CARMEL, INDIANA VENDOR: T358994
ONE CIVIC SQUARE IGA/PGA, INC CHECKAMOUNT: $*******105.00*
CARMEL, INDIANA 46032 PO BOX 516 CHECK NUMBER: 331005
FRANKLIN IN 46131 CHECK DATE: 10/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2029800 105.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# T358994 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IGA/PGA, INC IN SUM OF$ 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
$105.00
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
2029800 43-553.00 $105.00 1 hereby certify that the attached invoice(s),or 10/1/18 2029800 Dues $105.00
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
Friday,October 05,2018
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
INDIANA DIANA GOLF BILL DATE DUE DATE
10/01/2018 10/1512018
0 ° BILUNG INQUIRIES PAY THIS AMOUNT AMOUNT ENCLOSED
4) 0 397-739-3095 $105.00
Promoting the Game,Honoring the Tradition.
❑ VISA ❑ ❑AMEX ❑ Discover
Make checks payable to:IGA,Inc. Card Number Exp.Date
Signature SecunV 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 10/01/2018 10/15/2018
REF# DESCRIPTION FEE
2029798 New Members 5 Standard members @$21.00 $105.00
2029799 New Members 1 Junior members @$0.00 $0.00
2029800 Existing members 252 Standard members @$0.00 $0.00
If you have questions about your account,call 317-739-3015. $105.00
Message(s):
Indiana Golf xillueGo/f