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186754 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 361839 Page 1 of 1 ONE CIVIC SQUARE BRIDGESTONE GOLF 1NC CHECK AMOUNT: $95.88 CARMEL, INDIANA 46032 Po BOX 2908 'ti rod L a_ CAROL STREAM lL 60132 -2908 CHECK NUMBER: 186754 CHECK DATE: 612312010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356007 1001747585 95.88 GOLF HARDGOODS Invoice BRIDGESTONE GOLF, INC Payment information 15320 Industrial Park Blvd., NE Covington, GA 30014 Invoice no./date 01747585/ 10 .06/11 /20.10 CITY OF CARMEL Order noddate 23',34934% 06/;11/2010 BROOKSHIRE GC Cust P.O. number C/S #55070 D/O 12120 BROOKSHIRE PKWY Customer 33326,:::'.', CARMEL IN 46033 Invoice amount 102:00 USA Ship -to address TO iIN URE PROPER GREDIT?: BROOKSHIRE GC IVIAI,L PAYMENT; TO.:.', 12120 BROOKSHIRE PKWY CARMEL IN 46033 BRIDGESTONE!, GOLF; INC.. USA BOX .2908 CAROL ;STREAM IL :6013.2. 2908!; Conditions Amount! Weight volume Payment Up to 07/11/2010 you receive 6.000 discount 5.88 Gross 4.500 LB Recd by Up to 08/10/2010 you receive 4.000 discount '57.92 Net weight 4.320 LB Up to 09/09/2010 without deduction 102.00 Volume 0.147 FT3 Delivery N UG4 Shipping Condition Sales employee UPS GROUND 946 lrivoice .details DELIVERED BY SALES REP. Item Material Description Quantity Price Amount 000010 SRSXPA BRIDGESTONE B330RXS 3.000 34.00 102.00 Invoice amount 102.00 2910GESIVRE 15320 Industrial Park Blvd., NE Covinggton, GA 30014. Telephone: 1- 800 -358 -6319. G 0 L F BRIDGESTONE GOLF, INC. PRECEPT VO UCHER NO. WARRANT NO. Bridgestone Golf Inc. ALLOWED 20 IN SUM OF P.O. Box 2908 Carol Stream, IL 60132 -2908 $95.88 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO, ACCT #(TITLE AMOUNT Board Members 1207 1001747585 43- 560.07 $95.88 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 21, 2010 t� Director, Brooksh 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. 1995) 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)) 06/11/10 1001747585 Balls $95.88 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 1 20 Clerk- Treasurer