188005 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 356683 Page 1 of 1
i ONE CIVIC SQUARE JOHN PIELEMEIER
CHECK AMOUNT: $1,140.00
CARMEL, INDIANA 46032 JOHN PIELEMEIER PRO SHOP
12401 LYNNWOOD BLVD CHECK NUMBER: 188005
CARMEL IN 46033
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 20331 1,140.00 ADULT CONTRACTORS
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J4H`N "PIELEMEIEK: PRt SHOP
INVOICE 2033;
DATE. JUNE 24, 2010
12401 Lynnwood Blvd, Carmel, IN 46033
Phone 317- 573 -9900 Fax 317 573 -9338
Johnnypga-59@aol.com
TO: Carmel Parks and Recreation
Pee Wee Golf Camps June 105014 -01,
105014 -02
`SHIPPING: PAYMENT
SALESPERSON B, METHOD- TERMS
SHIPPING'7ERM5 DELIVERY DATE DUE DATE
1 p Net 10 Days
QTY ITEM At DESCRIPTION UNIT PRICE:' DISCOUNT LINE;TOTAL
19 Pee Wees 60.00 1140.00
I
I I
I D v
JUN 2 9 ,2010 I
BY:
i
I 11
Thank you for your Business! TOTAL DISCOUNT
SUBTOTAL 1
SALES TAX
SNIPPING
TOTAL 1140 00
Purchase
Description pee Wee C-IcO l ago i e �l u r► Creek
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P.Q. 20 3 &o F
G.L.
Budget i�►aYam Co n4raC�or
Line �escr
Purchaser Date _[0
Approval Date,,, L0
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
356683 John Pielemeier Pro Shop Terms
12401 Lynnwood Blvd
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/24110 20331 Pee Wee Golf 20473 1,140.00
Total 1,140.00
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
Voucher No. Warrant No.
356683 John Pielemeier Pro Shop Allowed 20
12401 Lynnwood Blvd
Carmel, IN 46033
In Sum of
w
1,140.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 20331 4340800 1,140.00 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
15 -Jul 2010
Signature
1,140.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund