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197076 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 361326 Page 1 of 1 ONE CIVIC SQUARE THE ANTIGUA GROUP INC CHECK AMOUNT: $259.72 CARMEL, INDIANA 46032 2903 PAYSHERE CIRCLE CHICAGO IL 60674 CHECK NUMBER: 197076 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION 1207 4356006 3489260 259.72 GOLF SOFTGOODS ANTIG INVOICE The Antigua Group, Inc. P.O. Box 5300, Peoria, AZ 85385 -5300 SlgZenggr Tel:623- 523 -6000 Administration Tel: 800 562 -9777 Credit Fax: 623 523 -6008 Customer Service: 800- 528 -3133 www.antigua.com Cust No 45272 Order No 0001227523 Invoice No 3489260 PO No GOLDEN HAWKS Del No 1113693 Invoice Date 04/20/11 SOLD TO: 45272 SHIP TO: BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB ATTN:ACCTS PAYABLE ATTN:ACCTS PAYABLE 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY CARMEL, IN 46033 CARMEL, IN 46033 US US Contact: Delivery Payment Terms UPS Ground Delivery Net 30 DAYS Invoice Due Date Ship Date Order Date Salesperson 05/20/11 04/20111 04/05/11 Jeff Saldutti SM MD LG XL 2X 3X 4X Style number Ship Qty Unit Price U/M Extended Price 100295 12 20.75 EA 249.00 REVEL 1 Logo;EB4122 GOLD HA WKS LS CR REVEL 436CAB 4-, f a Freight 10.72 Sub Total 249.00 Total Charges 10.72 Order Total 259.72 Total Quantity 12 TOTAL DUE 259.72 Please remit 259.72 due by 05/20/11 to The Antigua Group, Inc. 2903 Paysphere Circle, Chicago, 11 60674 'THE SALES TAX IS CALCULATED FOR EACH STYLE SIZE EXTENDED AMOUNT. INTEREST WILL BE CHARGED AT THE RATE OF 1.75% PER MONTH Page 1(1) User: CHEAN0995, Movex Jobld: 7645405588716521270IS193PF VOUCHER NO. WARRANT NO. ALLOWED 20 The Antigua Group, Inc. IN SUM OF 5 2903 Paysphere Circle Chicago, IL 60674 $259.72 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 3489260 43- 560.06 $259.72 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 26, 2011 Director, Bro hire 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 1" c- dill `c be prcperly 1`.em shc%Ar: kind of service, vihere performed, dates service rendered, by i per day, ber cf hours, raic per hour, number Cf units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoices) or bill(s)) 04/20/11 3489260 Shirts $259.7 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