HomeMy WebLinkAbout186414 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 361429 Page 1 of 1
ONE CIVIC SQUARE M D A CHECK AMOUNT: $397.12
CARMEL, INDIANA 46032 PO BOX 794
MONUMENT CO 80132 CHECK NUMBER: 186414
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 43277 397.12 GOLF SOFTGOODS
(MDA) MAXX SUNGLASSES INVOICE
MAXX SUNGLASSES
PO BOX 794 DATE INVOICE
MONUMENT CO 80132
6/1/2010 43277
BILL TO SHIP TO
Brookshire Golf Club IN Brookshire Golf Club IN
BRIAN BRIAN
12120 Brookshire Parkway 12120 Brookshire Parkway
Carmel, IN 46033 Carmel, IN 46033
TERMS DUE DATE REP SHIP VIA
NET 30 7/1/2010 IS 6/1/2010 UPS
n
QUANTITY DESCRIPTION EA AMOUNT
15 MAXX CINCO 4BLK 4RED 4WHT 3BLU 8.00 120.00
8 MAXX 2 4BLK 2BLU 2RED 8.00 64.00
6 MAXX GT 3BLK 3COP 8.00 48.00
6 MAXX REVOLUTION 3BLK 3WHT 8.00 48.00
6 MAXX 4 1BLK 2WHT 1BLU 2CIN 8.00 48.00
4 MAXX 3 4BLK 8.00 32.00
3 MAXX DESIGNER 1BLK 1TOR 1WHT 8.00 24.00
1 MAXX GT 1 BLK FREE FOR BRIAN TO TRYOUT) 0.00 0.00
1 DEMO SUNGLASSES (HIGH DEFINITION LENS SAMPLE FOR 0.00 0.00
YOUR CUSTOMERS TO TEST IN THE SUN)
SUCCESS MANUAL/ RACK CARD HOLDER WITH 10 RACK
CARDS
UPS SHIPPING 13.12 13.12
HELP US KEEP PRICES LOW! IF THESE BOXES ARE BLANK WE DON'T HAVE YOUR FAX OR E MAIL ADDRESS ON FILE!
Customer E -mail Customer Fax
PLEASE MAKE CHECKS PAYABLE TO "MDA"
WE ACCEPT MASTER CARD, VISA AND DISCOVER THIS INVOICE $397.12
877.550.8116 PHONE
719.622.1153 FAX
TOTAL DUE THIS ACCOUNT $397.12
VOUCHER NO. W ARRANT NO.
ALLOWED 20
M DA
IN SUM OF
P.O. Box 794
Monument, CO 80132
$397.12
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 43277 43- 560.06 $397.12 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
Monday, June 07, 2010
Director, Broo hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 19S
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))
06/01/10 43277 Sin Glasses $397.
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
za
Clerk- Treasurer