188914 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 359368 Page 1 of 1
ONE CIVIC SQUARE MIDWEST GOLF TURF
CARMEL, INDIANA 46032 10737 MEDALLION DRIVE SUITE A CHECK AMOUNT: $263.80
CINCINNATI OH 45241
o o CHECK NUMBER: 188914
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 58787 263.80 EQUIPMENT REPAIRS M
I)WE S -r Invoice 58787
C3 C3 I_ P 4.5 T U Invoice Date 07/28/10
Midwest Golf and Turf
10737 MEDALLION DRIVE
SUITE A
CINCINNATI, OH 45241 USA
Telephone: 866/514 -TURF
Bill To: Ship To:
BROOKSHIRE GOLF COURSE BROOKSHIRE GOLF COURSE
12100 BROOKSHIRE PARKWAY 12100 BROOKSHIRE PARKWAY
CARMEL, IN 46033 CARMEL, IN 46033
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Custor`ner V,ia a F Q B k
20:039 NE- T-20-DAYS
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IPutchaseOrder ,Numt'er,�,;,�Salesperson grder Date Our.Orde,rNumber
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Russell JS 07/27/10 47753
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°�QuanfikyRSh�pped° Item Numbe�� ��g la k L3rSit.of Measure ,Unit Price
Quantity,E4rdered �•,w, g Extentled Price
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Orde red item.Descr� 6 u v 10 k, F dI �/o Xi! R c 6441' n
1 1 DROPSHIP EA 35.00 35.00
0 SHIPPING AND HANDLING DIRECT N
4 4 P521749 EA 57.20 228.80
0 ROLLER ANTI SCALP 4" W /PIN N
Nontaxable Subtotal 263.80
Taxable Subtotal 0.00
Tax (7.000 0.00
Total Invoice
Customer Original
Page 1
j
VOUCHER NO. WARRANT NO.
ALLOWED 20
Midwest Golf and Turf
IN SUM OF
10737 Medallion Drive Suite A
Cincinnati, OH 45241
$263.80
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# l Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 58787 43- 500.00 $263.80 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
Wednesday, August 11, 2010
Director, Bro ks 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))
07/28110 58787 Repair Parts $263.80
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