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188714 08/18/2010 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: $1,056.31 CHICAGO IL 60674 CHECK NUMBER: 188714 CHECK DATE: 8/1812010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356006 3370886 1,056.31 GOLF SOFTGOODS INVOICE ANTIGUk. The Antigua Group, Inc. P.O. Box 5300, Peoria, AZ 85385 -5300 SW�en Tel: 623 523 -6000 TM Administration Tel: 800- 562 -9777 Credit Fax: 623 523 -6008 Customer Service: 800 528 -3133 www.antigue.com Cust No 45272 Order No 0001129958 Invoice No 3370886 PO No Dely No 557013 Invoice Date 08/11/10 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 09/10/10 08/10110 09/25/09 Jeff Saldutti X2 XS SM MD LG XL 2X 3X 4X Style number Ship Qty Unit Price UIM Extended Price 100042 5 23.75 EA 118.75 TONE 1 Logo;E28357 INDIANA UNIV IU IND LC CID I,_0 Style number Ship Qty Unit Price UIM Extended Price 100141 3 24.75 EA 74.25 LIS VICTOR 1 Logo;E28357 INDIANA UNIV IU IND LC CD 001 WHI 2 1 Style number Ship Qty Unit Price U1M Extended Price 100171 4 22.50 EA 90.00 FORCE 1 Logo;E28357 INDIANA UNIV IU IND LC CD Style number Ship Qty Unit Price U1M Extended Price 100171 1 23.50 EA 23.50 FORCE 1 Logo;E28357 INDIANA UNIV IU IND LC CD 185BLA 1 Style number Ship Qty Unit Price UIM Extended Price 100203 4 23.75 EA 95.00 PHOENIX 1 Logo;E28357 INDIANA UNIV IU IND LC CD INTEREST WILL BE CHARGED AT THE RATE OF 1.75% PER MONTH Page 1(3) User: CHEAN0995, Movex Jobld: 027612536669344409DIS193PF �TTT�T T INVOICE 1� 1 1.1 The Antigua Group, Inc. P.O. Box 5300, Peoria, AZ 85385 -5300 SlpZenggr Tel:623- 523 -6000 T„ Administration Tel: 800 562 -9777 Credit Fax: 623 523 -6008 Customer Service: 800- 528 -3133 www.antigua.com Cust No 45272 Order No 0001129958 Invoice No 3370886 PO No Dely No 557013 Invoice Date 08/11/10 X2 XS SM MD LG XL 2X 3X 4X Style number Ship Qty Unit Price U/M Extended Price 100203 1 24.75 EA 24.75 PHOENIX 1 1 Logo;E28357 INDIANA UNIV IU IND LC CD 001 WHl 1 Style number Ship Qty Unit Price U/M Extended Price 122108 4 22.50 EA 90.00 CONTROL 1 Logo;E28357 INDIANA UNIV O IU IND LC CD Style number Ship Qty Unit Price U!M Extended Price 122108 1 23.50 EA 23.50 CONTROL 1 Logo;E28357 INDIANA UNIV IU IND LC CD 001WHI 1 Style number Ship Qty Unit Price U/M Extended Price 525102 4 26.00 EA 104.00 SLEET 1 Logo;E28357 INDIANA UNIV IU IND LC CD Style number Ship Qty Unit Price U/M Extended Price 100042 5 2175 EA 118.75 TONE 1 Logo;E37545 PURDUE UNIV CLC LC CD 010BLA 1 2 2 Style number Ship Qty Unit Price U/M Extended Price 100141 1 24.75 EA 24.75 L/S VICTOR 1 Logo;E37545 PURDUE UNIV CLC LC CD Style number Ship Qty Unit Price U/M Extended Price 100141 1 25.75 EA 25.75 L/S VICTOR 1 Logo;E37545 PURDUE UNIV CLC LC CD 010BLA 1 INTEREST WILL BE CHARGED AT THE RATE OF 1.75% PER MONTH Page 2(3) A INVOICE The Antigua Group, Inc. P.O. Box 5300, Peoria, AZ 85385 -5300 Slcizen T 623 -523 -6000 ..A Administration Tel: 800 562 -9777 Credit Fax: 623 523 -6008 Customer Service: 800- 528 -3133 www.antigua.com Cust No 45272 Order No 0001129958 Invoice No 3370886 PO No Delly No 557013 Invoice Date 08/11/10 X2 XS SM MD LG XL 2X 3X 4X Style number Ship Qty Unit Price U/M Extended Price 100171 4 22.50 EA 90.00 FORCE 1 Logo;E37545 PURDUE UNIV CLC LC CD Style number Ship Qty Unit Price UIM Extended Price 100171 1 23.50 EA 23.50 FORCE 1 Logo;E37545 PURDUE UNIV CLC LC CD 222WHI 1 Style number Ship Qty Unit Price UIM Extended Price 525102 4 26.00 EA 104.00 SLEET 1 Logo; PURDUE UNIV O CL C LC C 01.0 U. Freight 25.81 Sub Total 1,030.50 Total Charges 25.81 Order Total 1,056.31 Total Quantity 43 TOTAL DUE 1,056.31 Please remit 1,056.31 due by 09/10/10 to The Antigua Group, Inc. 2903 Paysphere Circle, Chicago, 11 60674 INTEREST WILL BE CHARGED AT THE RATE OF 1.75% PER MONTH Page 3(3) VOUCHER NO. WARRANT NO. ALLOWED 20 TheiAntigua Group, Inc. IN SUM OF 2903 Paysphere Circle Chicago, IL 60674 $1,056.31 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 3370886 43- 560.06 $1,056.31 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, August 16, 2010 4 Director, Brooks ire 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)) 08/11/10 3370886 Shirts $1,056.31 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