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196805 04/26/2011
CITY OF CARMEL, INDIANA VENDOR: 359590 Page 1 of 1 ONE CIVIC SQUARE H2 GOLF COMPANY CARMEL INDIANA 46032 317 GRADLE DR CHECK AMOUNT: $1,189.10 CARMEL IN 46032 CHECK NUMBER: 196805 CHECK DATE: 4/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN D ESCRIPTION 1207 4230200 1077 210.00 OFFICE SUPPLIES 1207 4356006 1096 979.10 GOLF SOFTGOODS H H2 Golf Company, LLC Invoice 317 Gradle Drive e Carmel, IN 46032 Date Invoice GOLF 800- 466 -230 4181201.1 1077 Bill To Ship To Brookshire Golf Club Brookshire Golf Club 12120 Brookshire Parkway 12120 Brookshire Parkway Cannel, IN 46033 Carmel, IN 46033 Rep P.O. No. Terms Net 30 H2 Item Description Invoiced Unit Price Amount 211 1- Pencils Pencils 20 10.50 210.00T Subtotal $2 10.00 Sales Tax (0.0 $000 Total $210.00 Payments /Credits $0.00 Balance Due $210.00 VOUCHER NO. WARRANT NO. ALLOWED 20 H2 Golf Company, LLC IN SUM OF 317 Gradle Drive Carmel, IN 46032 $210.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 1077 42- 302.00 $210.00 I 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, April 15, 2011 i Director, Brook ire 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. 199: 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 whore, 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)) 04/0$111 1077 Golf Pencils $210.0 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 H2 Golf Company, LLC Invoice 317 Gradle Drive a-- Carmel, IN 46032 Date Invoice M Q L F 800 466 -2305 4n4/2011 196 Bill To Ship To Brookshire Golf Club Brookshire Golf Club 12120 Brookshire Parkway 12120 Brookshire Parkway Carmel, IN 46033 Carmel. IN 46033 Rep P.O. No. Terms Net 30 H2 Item Description Invoiced Unit Price Amount 1 101 -1 #1 2 1 /8' Deluxe 50 pk White "fees Peg 1 6 1.50 9.001 11102- Peg #2 2 3/4' Deluxe 50 pk. WhiteTees Pe- 42 12 1.50 18.00T 1 1103 -Peg 43 2 3/4' Deluxe 50 pk Natural Tees Peg 43 12 1.50 18.0OT 1 1 104- Peg 94 2 3/4' Deluxe 50 pk Mixed-Peg 44 6 1.50 9.00T 1 1 105 Peg 95 2 3/4' Deluxe 50 pk Pink..Peg 95 6 1.50 9.00T 11 106 -Peg #6 2 3/4' Deluxe 100 pk White ..Peg 46 12 2.50 30.00T 11 107 -Peg #7 2 3/4' Deluxe 100 pk Natural.. Peg #7 12 2.50 30.001" 1 1108 -Peg #8 2 3/4' Deluxe 100 pk Mixed.. Peg 98 6 2.50 15.001 11109 -Peg #9 3 1/4' Deluxe 50 pk white..Peg #9 12 2.00 24.00T 110 -Peg 410 3 114' Deluxe 50 pk Natural_Peg #10 12 2.00 24.00T 1 111 -Peg 11 3 1/4' Deluxe 50 pk Mixed..1'eg 11 12 2.00 24.001 11112- Peg #12 3 1/4' DeIuxe100 pk White.. Peg #12 6 3.00 18.001' Subtotal Sales Tax (0.0 Total Payments /Credits Balance Due Page 1 H2 Golf Company, LLC Invoice 317 Gradle Drive allCarmel, IN 46032 Date Invoice G 0 L F 800 -466 -2305 4/14/2011 1096 Bill To Ship To Brookshire GBII'Clllb Brookshire G011'Ctuh 12120 Brookshire Parkway 12120 Brookshire Parkway Carmel, IN 46033 Carmel. IN 46033 Rep P.O. No. Terms Net 30 H2 Item Description Invoiced Unit Price Amount 1 1 113 -Peg 13 3 1 /4' Deluxe 100 pk Natural.. Peg 13 6 3.00 18.001' 1 1 1 14 -Peg 14 3 1 /4' Deluxe 100 pk Mixed.. Peg 14 6 3.00 18.001 1 1 1 l5- Peg 15 T Deluxe 50 pk White..Pcg 415 6 2.00 12.001' 1 1 1 16 -Peg #16 4' Deluxe 50 pk nalUral..Peg 16 6 2.00 12.00T 111 17- Peg 417 2 3/4' Step "fees 50 pk Natural..l'eg 17 6 3.00 18.00T 18 -Peg 18 3 1/4' Step Tees 50 pk Naturat.. Peg 18 6 3.00 18.00T 1 1 122 -Peg 938 2 3/4' 'four Stripe 50 Pk White -leg 438 6 3.00 18.001 11 123 -Peg #39 3 1/4' Tour Stripe 50pk White..Peg #39 6 3.00 18.007 1 1 1 19- Peg #19 2 3/4' Eco Endurance 50pk..Peg 419 5 3.00 15.00T 1 1 120 -Peg 420 2 3/4' Eco RRT 50 pk White-Peg #20 5 3.50 17S0T 11 121 -Peg #21 3 1/4' E'co RRT 50 pk White..Peg 421 5 3.50 17.50T I 1 120 -Peg 420 2 3/4' Eco RRT 50 pk White.. Peg 420 5 3.50 17.50T Subtotal Sales Tax t0.0 %f Total Payments /Credits Balance Due Page 2 H2 Golf Company, LLC Invoice 317 Gradle Drive Carmel, IN 46032 Date Invoice CSOLF 800- 466 -2305 4/14/2011 1096 Bill To Ship To Brookshire Golf Club Brookshire Goli'Club 12120 Brookshire Park',vay 12120 Brookshire Parkway Carmel, IN 46033 Carmel. IN 46033 Rep P.O. No. Terms Net 30 H2 Item Description Invoiced Unit Price Amount 211 19- Peg 940 Deluxe Rachet Spike Wrench..Peg #40 6 5.00 30.00T 21 122 -C 11540 Peg #43 Spikes `I'ri -L,ok Zarma 18 ct. Peg 943 6 7.50 45.00T 2112- C75640 Peg #44 Spikes Stinger Tri Lok 18ct Peg 444 6 6.80 40.80T 21124-C75630 Peg445 Spikes Stinger QLOK 18ct. Peg #45 6 6.80 40.80T 21113-Peg 934 Marker with line up pro..Peg 934 6 3.50 2 LOOT 21 106 -Peg 427 Ball Pick Up..Peg 427 6 2.50 15.00T 21107 -Peg 928 Lead Tape Strips.. Peg 428 6 2.50 15.00T 21111 -Peg 32 Weighted Swing Ring..Peg 32 6 2.50 15.00T 21109-Peg #30 Divot Tool/Marker-Peg 430 6 4.00 24.00"[ 21104-Peg 425 Ladies Hat Clip Crystal..Peg 925 6 TOO 42.00T 21105 -Peg 926 Mens Hat clip w/ Marker.. Peg #26 6 5.00 30.00T 21 1 14 -Peg 35 Wedge Putting Cup..Peg 35 6 3.00 18.00T Subtotal Sales Tax (0.0 Total Payments /Credits Balance Due Page 3 H H2 Golf Company, LLC Invoice v 317 Gradle Drive e Carmel, IN 46032 Date Invoice GvLF 800-466-2305 4/14/2011 1096 Bill To Ship To Brookshire Golf Club Brookshire Golf Club 12120 Brookshire Parkway 12120 Brookshire Parkway Carmel. IN 46033 Carmel. IN 46033 Rep P.O. No. Terms Net 30 H2 Item Description Invoiced Unit Price Amount 21115-Peg 936 2 Sided Groove Brush Pink..Peg #36 6 2.50 15.00T 21 121 Peg 442 Groove Brush Deluxe..Peg #42 5 4.00 20.00T 21 1 16 -Peg 437 Tri Fold Towel ..Peg 37 6 4.00 24.00T 21139- Trion Z Active Trion Z Active Pink Small 1 13.00 13.00T 21140- Trion -z Active Trion -z Active Pink Medium 1 13.00 13.00T 21 141- Trion -z Active Trion -z Active Black Small 1 13.00 13.00T 21142- Trion -z Active Trion -z Active Black medium 2 13.00 26.00T 21143 Trion -z Active Trion -z Active Black. Large 2 13.00 26.007 21 144- Trion -z Active Trion -z Active White Small 1 13.00 13.001' 21 145- "lrion -z Active Trion -z Active White Medium 1 13.00 13.00T 21146- Trion -z Active Trion -z Active White Large 2 13.00 26.001' 21147 Trion -z Active Trion -z Active Blue Large 1 13.00 13.00T Subtotal $979.10 Sales Tax (0.0 $000 Total $979.10 Payments /Credits S0,00 Balance Due $979.10 Page 4 VOUCHER NO. WARRANT NO. H2 Golf Company, LLC ALLOWED 20 IN SUM OF 317 Gradle Drive Carmel, IN 46032 $979.10 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# 1 Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members 1207 1096 43- 560.06 $979.10 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, April 19, 2011 Director, Brookshi e Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 209 (Rev. 199E 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 dumber (or note attached invoice(s) or bill(s)) 04/14/11 1096 Soft Goods $979.1 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