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189331 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 361858 Page 1 of 1 ONE CIVIC SQUARE FOREI RESERVATIONS INC CHECK AMOUNT: $1,000.00 CARMEL, INDIANA 46032 5019 GRAND AVENUE WESTERN SPRINGS IL 60558 CHECK NUMBER: 189331 CHECK DATE: 8/31/2010 DEPARTMENT -ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION 1207 4351502 20693 39617 1,000.00 SOFTWARE FEES Fore! Reservations, Inc. 5019 Grand Avenue Western Springs, IL 60558 Invoice Y o i ce Date Invoice 9/10/2010 39617 Bill To Brookshire Golf Club 12120 Brookshire Parkway Carmel, IN 46033 P.O. No. Terms Representative Due on receipt CMS Quantity Description Unit Price Amount 1 18 Hole Annual Fore'. Reservations Software Lease 500.00 500.00 1 Annual Fore! Internet Premium 500.00 500.00 Total $1,000.00 Make all checks payable to: Fore! Reservations, Inc. If you have any questions concerning this invoice, please call our Accounts Receivable Department at 630.789.9705 ext. 111 Thank you for your Business e. VOUCHER NO. WARRANT NO. ALLOWED 20 Fore Reservations Inc. Accounts Receivable IN SUM OF 5019 Grand Avenue Western Springs, IL 60558 1 $1,000.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 20693 39617 44- 632.02 $1,000.00 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 Tuesday, August 17, 2010 Director, BrooksRiAe 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)) 09/10/10 39617 Software $1,000.00 I 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