189263 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 361839 Page 1 of 1
ONE CIVIC SQUARE BRIDGESTONE GOLF INC CHECK AMOUNT: $783.84
CARMEL, INDIANA 46032 PO Box 2908
CAROL STREAM IL 60132 -2908 CHECK NUMBER: 189263
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1207 4356007 1001767696 783.84 GOLF HARDGOODS
jillml
BRIDGESTONE
Invoice
BRIDGESTONE GOLF, INC Payment mformauon
15320 Industrial Park Blvd., NE Covington. GA 30014
Envotce no /date 1001757596f <O8/15/201Q:,'
CITY OF CARMEL Order.no.ldate.. 23:49993i/ 08/.13 f 2010.
BROOKSHIRE GC Cust P O:: inumber 8121OBr an Snedeke
12120 BROOKSHIRE PKWY Customer .'i 33326
CARMEL IN 46033 Invoice amount 832..80
USA
Ship -to address r 1 i!NSUR'E PrznPFR .CREDIT-
BROOKSHIRE GC MA'l'L PAY MENT
12120 BROOKSHIRE PKWY
CARMEL IN 46033 BR,IDGESTON.E. GOLF; INC.
USA PO: BOX 2908
CAROL STRI =1M, .IL:!60132 2908:
Conditions :Amours€ Weight volume
Payment Up to 09/15/2010 you receive 6.000 discount 783.84 Gross 36 LB
Recd by Up to 10/15/2010 you receive 4.000 discount 800.16 Net weight 34.560 LB
Up to 11114/2010 without deduction 832.80 Volume 1.176 FT3
Delivery Y
UG4
Shipping Condrt[on Sales employee
UPS GROUND 946
Item Material Description Quantity Price Amount
000010 BRSXPA RIDGESTONE B330RXS 12.000 34.00 408.00
000020 BRDXPA BRIDGESTONE B330RX 12.000 34.00 408.00
Freight 16.80
Invoice amount 932.R{1-
15320 Industrial Park Blvd., NE Covington, GA 30014. Telephone: 1- 800 -358 -6319.
G 0 1 F BRIDGESTONE GOLF, INC. PRECEPT
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bridgestone Golf Inc.
IN SUM OF
P.O.'Box 2908
Carol Stream, IL 60132 -2908
$783.84
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE N0. ACCT #!TITLE AMOUNT Board Members
1207 1001767696 43- 560.07 $783.84 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
Tuesday, August 24, 2010
Director, Brookshire olf 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))
08/16/10 1001767696 Balls $783.84
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
R