HomeMy WebLinkAbout190383 09/29/2010 a 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: $177.57
CINCINNATI OH 45241
CHECK NUMBER: 190383
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 61053 177.57 EQUIPMENT REPAIRS M
Invoice 61053
E S T Invoice Date 09108110
Ea L F
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
12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 CARMEL, IN 46033
CUStOmBr �ShE Ulan+ .taa
p��__.. a w�� �ktro(�'r.''� a��. B 3 'aTePrS'YS
20 =039 NET 20 DAYS
Oa b ..'s Sales ersbn .Order Date Q
„,wx tii 4 P,urchasewOrderNurnber rs ,g p m ur OrderNumber
JS 09/08/10 49969
o-. �r
x r Quantity Shipped Item;IVumber> �,3 Unit of Measure,
Quantity Ordered ,b �Ext d tl rlc e
en e' P
Disco
Bael< Qrdered ItemDescrlptron 31. unt Tax x,P E
2 2 522973 EA 36.44 72.88
0 PULLEY, PLAIN FLAT IDLER 4.00 DIA. N
1 1 835063 EA 84.48 84.48
0 BELT,4 GRV N
1 1 DROPSHiP EA 20.21 20.21
0 SHIPPING AND HANDLING DIRECT N
Nontaxable Subtotal 177.57
Taxable Subtotal 0.00
Tax (7.000%) 0.00
Total Invoice
Customer Original
Page 1
VOUCHER NO. WARRANT NO.
Midwest Golf and Turf ALLOWED 20
IN SUM OF
10737 Medallion Drive Suite A
Cincinnati, OH 45241
$177.57
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO Dept, INVOICE NO. ACCT #rFITLE AMOUNT Board Members
1207 61053 43- 500.00 $177.57 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
Thursday, September 16, 2010
1� 1 i
Director, Brookshir 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))
09/08/10 61053 Repair Parts $177.57
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