HomeMy WebLinkAbout194267 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 361429 Page 1 of 1
0 ONE CIVIC SQUARE M D A CHECK AMOUNT: $420.46
CARMEL, INDIANA 46032 PO BOX 3110
o MONUMENT CO 80132 CHECK NUMBER: 194267
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 52085 420.46 GOLF SOFTGOODS
(MDA) MAXX SUNGLASSES INVOICE
MAXX SUNGLASSES
PO BOX 3110 DATE INVOICE
MONUMENT, CO 80132 1/21/2011 52085
BILL TO SHIP TO
Brookshire Golf Club IN Brookshire Golf Club IN
BRIAN BRIAN
12120 Brookshire Parkway 12120 Brookshire Parkway
Carmel, IN 46033 Carmel, IN 46033
TERMS DUE DATE REP SHIP VIA
d� AM
NE�T�30 �aw 212fJ/2011 SH 1/21/2011 UPS
p pwx� a"d i. .��`a'k"A�k� ��r�'w^�, 6 �w,
QUANTITY DESCRIPTION EA AMOUNT
9 MAXX 2 8 BK, 1 OR 8.50 76.50
6 MAXX 4 2 BK, 2 RED, 1 BLU, 1 TOR 8.50 51.00
16 MAXX CINCO 7 BK, 4 WH, 3 RED, 2 BLU 8.50 136.00
7 MAXX REVOLUTION 2 RED, 1 BLU, 2 DB, 2 DW 8.50- 59.50
10 MAXX GT 5 BK, 5 COP 8.50 85.00
8 MAXX REVOLUTION 4 BK, 4 WH (FREE 2 PER DZ!) 0.00 0.00
UPS SHIPPING 12.46 12.46
HELP US KEEP PRICES LOW! IF THESE BOXES ARE BLANK WE DON'T HAVE YOUR FAX ORE MAIL ADDRESS ON FILE!
Customer E -mail Customer Fax
PLEASE MAKE CHECKS PAYABLE TO "MDA"
WE ACCEPT MASTER CARD, VISA AND DISCOVER THIS INVOICE $420.46
877.550.8116 PHONE
719.622.1153 FAX
TOTAL DUE THIS ACCOUNT $420.46
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
M DA
1/� IN SUM OF
P.O. Box 3110
Monument, CO 80132
$420.46
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO, ACCT #(TITLE AMOUNT Board Members
1207 52085 43- 560.06 $420.46 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, January 2$, 2011
Director, Brooks e 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))
01121/11 52085 Sunglasses $420.46
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