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184160 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 361326 Page 1 of 1 ONE CIVIC SQUARE THE ANTIGUA GROUP INC CARMEL, INDIANA 46032 2903 PAYSHERE CIRCLE CHECK AMOUNT: $1,512.67 CHICAGO IL 60674 CHECK NUMBER: 184160 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356006 3324622 1,512.67 GOLF SOFTGOODS -"ANTIGUk,., INVOICE y The Antigua Group, Inc. -.wovo� P.O. Box 5300, Peoria, 85385 5300 Te1:623- 523 -60 6000 S la zencier iM Administration Tel: 800- 562 -9777 Credit Fax: 623 -523 -6008 Customer Service: 800 528 -3133 www.antigua.com Cust No 45272 Order No 0001129969 Invoice No 3324622 PO No Dely No 557075 Invoice Date 03/26/10 SOLD TO: 45272 SHIP TO: BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB ATTN:ACCTS PAYABLE ATTN:ACCTS PAYABLE 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY CARMEL, IN 46033 CARMEL, IN 46033 US US Contact: Delivery Method Payment Terms UPS Ground Delivery Net 30 DAYS Invoice Due Date Ship Date Order Date Salesperson 04/26/10 03/24/10 09/25/09 Jeff Saldutti SM MD LG XL 2X 3X 4X Style number Ship Qty Unit Price U/M Extended Price 100206 4 21.50 EA 86.00 W'S L/S EXCEED 1 Logo; BR OOKSHIRE GOLF CLUB LC CR Style number Ship Qty Unit Price UIM Extended Price 100207 4 19.50 EA 78.00 W'S S/L EXCEED 1 Logo;E99755 BROOKSHIRE GOLF CLUB LC CR 798/MI 1 2 1 Style number Ship Qty Unit Price UIM Extended Price 100208 49 20.50 EA 1,004.50 EXCEED 1 Logo;E99755 BROOKSHIRE GOLF CLUB LC CR 001WHI a_ 01 0BLA 2 3 2 056DKR 2 3 2 (_150TN 879GRA 2 3 2 880R Style number Ship Qty Unit Price UIM Extended Price 100208 7 21.50 EA 150.50 EXCEED 1 Logo;E99755 BROOKSHIRE GOLF CLUB LC CR 001 WHI 1 INTEREST WILL BE CHARGED AT THE RATE OF 1.75% PER MONTH Page 1(2) User: CHEAN0995, Movex Jobld: 0060795245685509730IS193PF ANTIGUk. INVOICE The Antigua Group, Inc. P.O. Box 5300, Peoria, AZ 85385 -5300 SlgZenggr. Tel:623- 523 -6000 Administration Tel: 800 562 -9777 Credit Fax: 623 523 -6008 Customer Service: 800- 528 -3133 www.antigua.com Cust No 45272 Order No 0001129969 Invoice No 3324622 PO No Dely No 557075 Invoice Date 03/26/10 SM MD LG XL 2X 3X 4X 0 1 1 50TN 1 I_ 9GRA Style number Ship City Unit Price U/M Extended Price 100222 8 20.50 EA 164.00 W'S EXCEED 1 Logo;E99755 BROOKSHIRE GOLF CLUB LS CR 7 77 7777 1001_. 100 WH1 789 /BL 2 1 4 1 Freight 29.67 Sub Total 1,483.00 Total Charges 29.67 Order Total 1,512.67 Total Quantity 72 TOTAL DUE 1,512.67 Please remit 1,512.67 due by 04/26/10 to The Antigua Group, Inc. 2903 Paysphere Circle, Chicago, 11 60674 INTEREST WILL BE CHARGED AT THE RATE OF 1.75% PER MONTH Page 2(2) VOUCHER NO. WARRANT NO. ALLOWED 20 The Antigua Group, Inc. IN SUM OF 2903 Paysphere Circle Chicago, IL 60674 $1,51 2.67 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 3324622 43- 560.06 $1,512.67 1 hereby certify that the attached invoice(s), or 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, March 30, 2010 Director, BroolksWilr Club Title Cost distribution ledger classification if claim {paid motor vehicle highway fund Prescribed by Stale Board of Accounts City Form No 201 (Rev. 199: ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/26/10 3324622 Golf Soft Goods $1,512.E 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 Clerk- Treasurer