HomeMy WebLinkAbout186930 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 361429 Page 1 of 1
0 ONE CIVIC SQUARE M D A CHECK AMOUNT: $522.52
CARMEL, INDIANA 46032 PO Box 794
y MONUMENT CO 80132 CHECK NUMBER: 186930
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 44058 522.52 GOLF SOFTGOODS
(MDA) MAXX SUNGLASSES INVOICE
MAXX SUNGLASSES
PO BOX 794 DATE INVOICE
MONUMENT CO 80132
6/14/2010 44058
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 x 7f14f2010 IS 6/14/2010 UPS
QUANTITY DESCRIPTION EA AMOUNT
28 MAXX DESIGNER 12BLK 8TOR 8WHT 8.00 224.00
32 MAXX SOL 8WHT 8BLK 8TEAL 8PNK 8.00 256.00
5 DOZEN MICROFIBER BAGS 5.88 29.40
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 $522.52
877.550.8116 PHONE
719.622.1153 FAX
OUNT
TOTAL DUE THIS ACC $919.64
VO UCHER NO. WARRANT NO.
ALLOWED 20
MDA
IN SUM OF
P.O. Box 794
Monument, CO 80132
$522.52
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 44058 43- 560.06 $522,52 I 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
Director, Brooks e 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))
06/14/10 44058 Bags $522.52
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
Clerk- Treasurer