189452 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 362771 Page 1 of 1
ONE CIVIC SQUARE OARSMAN
CARMEL, INDIANA 46032 PO Box 790051 CHECK AMOUNT: $311.33
ST LOUIS MO 63179 -0051
CHECK NUMBER: 189452
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 68240 311.33 GOLF SOFTGOODS
I !•vQ)f` WVOICEINO. PAGE
01 68240 1
I
RU CCgD DUAAB4E INVOICE DATE
P.O. Box 98, Bourbon, MO 65441
A Division of Paramount Apparel 1 L 8 /1 16/10J
International. Inc.
TELEPHONE:
800 94 -5454 REMIT TO: P.O- BOX 790051
FAX: 573 -732 -5177 ST. LOUIS, MO 63179 -0051
1
SO C I` Y OF CA MEi._ H C�ITY OF� CARMEL.
L BROOKSHIRE COUNTRY CLUB I BROOKSHIRE COUNTRY CLUB
D ATTN: PAUL BLOCKOMS P. ATTN: PAUL, BLOCKOMS
T 12120 BROOKSHIRE PKWY 7.1 12120 BROOKSHIRE PKWY
IN 46033 CARMEI -',IN 46033
ORDER ACCOUNT I! SALES YOUR PURCHASE j' F.D.B.
NUMBER ORDER DATE NUMBER MAN ORDE NUMBER SHIP VIA Bourbon, TERMS
mo
99144 10 1 467 405 S458 UPS GROUN PREPA j NET 30
QTY SHIP
Dz EA ITEM NUMBER DESCRIPTION COLOR UNIT PRICE EXTENDED PRICE
SO# A09855/S458 BROOKSHIRE GOLF CLUB
4663 BASIC CREW SWEATSHIRT OXFORD 11.95 71. 70
61 4663 BASIC CREW SWEATSHIRT MAROON 11.95 71. 70
6i 46 63 BASIC CREW SWEATSHIRT i NAVY 11.95 .71. 70
1 4663 BASIC CREW SWEATSHIRT BLACK 11.95 171.70
1
I
I
WEIGHT LBS.
57 SALE AMOUNT 266.80
CARTONS FREIGHT 2
ORDER "CIJM LE'?i ]E:. _L
68240
'PAY THIS'
INVOICE NO. AM OUNT, 311.
ALL CLAIMS MUST BE MADE WITHIN 10 DAYS OF RECEIPT OF GOODS. NO RETURNS 'THE GOODS COVERED IN THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH
WITHOUT WRITTEN CONSENT. ALL CORRESPONDENCE TO BE MADE DIRECTLY THE FAIR LABOR STANDARDS ACT OF 1938."
TO OARSMAN SPORTSWEAR, P.O. BOX 98, BOURBON, MO 65441
VOUCHER NO. WARRANT NO.
ALLOWED 20
Oarsman
IN SUM OF
P.O. Box 98
Bourbon, MO 65441
$311.33
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 68240 43- 560.06 $311.33 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
Friday, August 20, 2010
Director, Brook;hirrGolf 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 68240 Golf Soft Goods $311.33
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