HomeMy WebLinkAbout159765 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 359457 Page 1 of 1
s ONE CIVIC SQUARE AMERICAN DRY GOODS
z CARMEL, INDIANA 46032 CHECK AMOUNT: $1,111.91
PO BOX 790051
ST LOUIS MO 63179 -0051 CHECK NUMBER: 159765
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
905 4356006 81493 374.04 GOLF SOFTGOODS
905 4356006 81901 737.87 GOLF SOFTGOODS
t
PAGE
�IVVOICL
AMERICAN DRY GOODS
01 61493 1
P.O. BOX 790051 INVOICE DATE
St. Louis, MO. 63179 -0051 04 3 /26 /08
TELEPHONE:
800 822 -2708 REMIT TO: EM P.O. Box 790051
FAX: 800 822 -2709 ST. LOUIS, MO 63179 -0051
ASI 35493
S `CITY O CARMEL.- H CITY OF CARMEL
L DBA /BROOKSHIRE G. C. DBA /BRUDKSHIRE G. C.
D ATTN: PAUL BLOCKOMS P ATTN: PAUL BLOCKOMS
T 12124 BROOKSHIRE PKWY T 12120 BROOKSHIRE PKWY
___C`ARMEL I�'J_- 464 -`3 +�AR1'i�i I:#��,_4.6.03
ORDER ACCOUNT SALES' YOUR PURCHASE F.O.B.
ORDER DATE MAN SHIP VIA TERMS
NUMBER NUMBER 'I ORDER NUMBER BOURBON,,
62440l12/07/07 46754 405 4 4C >0'S i UPS GROUND PREPAID F NET 30
QTY SHIP ITEM NUMBER DESCRIPTION COLOR UNIT PRICE EXTENDED PRICE
DZ EA
I1 ADG400 LADIES SOLID CLIP ON VIE KHAKI 6.2-5 68.75
12 ADG400 f LADIES CLIP ON VISOR LIME i 6.25 75.00
12 I ADG•415 ;LADIES COIL HACK EYESHA f P I NK 5.75 f 69-00
12 IAD;415 ;LADIES COIL BACK. EYESHA STONE 5.75 69.00
i2j IADG41.5 !LADIES COIL BACK EYESHA COLUMBIA i 5. 75 6�'r. 00
I I
I i I
I
I f
I i I I
I
i
k
r i I
I G
s I
WEIGHT 52 LBS. SALE AMOUNT 350.
1 CARTONS FREIGHT 23 `q
ORDER COMPLETE:
81493
INVOICE NO. 374.04
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 TO THE FAIR LABOR STANDARDS ACT OF 1938 CUSTOMER COPY
AMERICAN DRY GOODS, P.O. BOX 539/ #1 PARAMOUNT DRIVE, BOURBON, MO 65441
P�11R0 PACKING S
SHIP TO: CITY OF CARMEL SHIP FROM: AMERICAN
HWY 19 No/
DBA/BROOKSHIRE G.C.
ATTN: PAUL BLOCKOMS
12120 BROOKSHlRE PKWY Winona MO
n� CARMEL
IN 46033
CUST PO# 400'S SALESMAN DT
U�
CUSTOMER# 0046750
ORDER# 006244O OR0ER DATE 12/O7/O7
STURE# 46750 START SHIP 4/01/O8
CUST EPl#: PRINT DATE 2/19/08
D
A�
URDER STYLE STYLE DEGCRIPTIUN COLUR DESC
ADG4OO LADIES CLIP ON VISUR LIME
ADG4OO LADlES SOLID CLIP ON V KHAKI
IADG415 LADIES COlL BACK EYESHADE CULUMBIA BLU
IADG415 LADIES COIL BACK EYESHADE PlNK
IADG415 LADIES COl) BACK EYESHADE STONE
2/19/O8 AT 10:29:48
PKT CTL#: 305525
S
th PAGE# 1
DRY
WAVE NBR:
65588
A�
CO/DIV/WHSE /WI
OF CARTONS: 1 OF PALLETS: �r
WEIGHT 14.0O
CUBIC FEET
ORDER SHIPPED
SlZE ------UPC------ ASST DOZ/EA DOZ/EA
USFA 1/ /[[iJtr
USFA 1/�^
TOTALS: �j/ 4/ 11
d�
w~
d�
8�
Brookshire Golf Club Inventory Received Report
12120 Brookshire Parkway Order Number: 05082008 -3
Carmel, IN 46033 1111111111111111111111111111 IN 11111111111
Order Number Item Code Descnption� Ordered To Date, _Received Uhit Cosh Extended Extended
�h.. :.E To,.Date_.. Received
...e___
3003461 ADG LADIES VSRICLIP 23 23 0 $6.64 $152.72 $0.00
3003462 ADG LADIES COIL HAT 36 36 0 $6.14 $221.04 $0.00
..;Grand Totals:°
Authorized by Date
Order Number: 05082008 -3 Page 1 of 1
Brookshire Golf Club Inventory Received Report
12120 Brookshire Parkway Order Number: 05082008 -2
Carmel, IN 46033
Order Number Item Code A DescriptionOrdered To Date Received Cost Extendetl Extended,;
e To:Date Re`ceivecf
a�..: e
3003430 ADG UNSTR/TWILL�HAT 71 71 0 $5.95 $422.45 $0.00
3003431 ADG LT WT DOBBY 11 11 0 $6.94 $76.34 $0.00
3003432 ADG ULTRA BRSH TWLL 35 35 0 $6.70 $234.50 $0.00
i
......REF :Grand Totals: 117 U 17 $19:59 _$733;29 $O.00T
Authorized by Date
Order Number: 05082008 -2 Page 1 of 1
f�170CE PAGE
i�uooc
AMER.ICAN DRY G® ®DS 0 1 51901
P.O. BOX 790051 INVOICE DATE
St. Louis, MO. 63179 -OOS1 04 L 4 /07 /0s
TELEPHONE:
800 822 -2708 REMIT TO: P.O. BOX 790051
FAX: 800 822 -2709 ST. LOUIS, MO 63179 -0051
ASI 35493
'S C.. I T'i OF C A RMEL S C I TY OF CCAR Ill EL
L DBA /BRT�OKSHIRE G. C. H DBA /BROOKSHIRE G. C.
D ATTN: PAUL BL OCKOMS P ATTN: PAUL BLOCKOMS
T 12120 TBROOKSHIRE PKWY I T 12120 BROOKSHIRE PKWY
CARMEL 1111 46033 CARMEL IN 46033
ORDER ACCOUNT SAES YOUR PURCHASE F.O.B.
ORDER DATE MAN SHIP VIA TERMS
NUMBER NUMBER ORDER NUMBER BOURBON
05 467.00 405 120507 Y 'UPS GROUND PREPAID F NET 30
�sflf.��^{ 3 I
oTY sHEa ITEM NUMBER i, DESCRIPTION; COLOR UNIT PRICE EXTENDED PRICE
f
12 .1 ADG2 `O BASIC UNSTRUCTURED KHAKI i 5. 75 I 69.00
1�. TADG250 BASIC UT`dSTRUGl "t�F3ED
BROWN i w:., 75 69.00
121 IADG275 BASIC UNSTRUCTURED STONE r' 5. 75 T 69. 00
12 IADG275 WASHED TWILL HALF ROLLS DK RED 5. 75 69.00
12! IADG275 I WASHED TWILL HALF ROLLEI MARLIN 5. 75 69. 00
11 IADG275 WASHED TWILL_ HALF ROLLE! NAVY
-5. 75 6�3�25
II IADG209 ULTRA BRUSHED TIr1ILL. SOLI OCEAN 6`�j 1. 5G
III IAD G114 LT WT DOB BY PERF CAP BLACK 6� 5 74.25
12I IAD v.L LT WT D BB r PERFORM. CAI ROYAL 6.75 �l 81.00
12', IADG114 LT WT DOBBY PERFORM. C4j WHT *,6. 75 i 81.00
I I
a I
t I
I s
1 t
I J
I f
i 1
WEIGHT 55 LBS. SALE AMOUNT 716.00
E
'i
1 CARTONS FREIGHT
21 87
ORDER COMPLE"T"E n
81901
INVOICE NO. I m 737.
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 TO THE FAIR LABOR STANDARDS ACT OF 1938." CUSTOMER COPY
AMERICAN DRY GOODS, P.O. BOX 539/ #1 PARAMOUNT DRIVE, BOURBON, MO 65441
SHIP TOc CITY OF }::;t`]RMF:1 SHIP FF:OM c. AMERICAN IC AN DR x
HWY 19 iiior °t
7:]Bfl/:(: ;1 �:Cll_IK:::S{-i l:RE G.C.
AT TNN I- 'Ad..lL.. I:;L..{a {`K {aMs
12120 I3Fl {:3(:'KS1"I1:1" E PKWY Winona MO.
(:;fwF:Ml:::L
101 ORDERM n 0064000 ORDER DATE c 3/05/0,."3
STORER n 46750 START SHIP 4/01/0''.3
CU ST DEPTH; PRINT T f;A'TE {i O4,: 0t -3
V I N {:l F i N
ORDER STYLE STYLE DESCRIPTION COLOR DE SC
:I: f'�i:(:]I::i:L 14 2 00 1. 1...'T WT :fi{:1: Y {�'f:::F� F CAP BLACK
T.� 14 40000 AXX 001 1_.'T WT {)i:il': {BY PERFORM. CAP I,.){•m 0
1:r1: {)t;1 l.14 ^dt)�:)�; 0 F'IX2 001 {...'T WT DOB BY PERFORM. M P F�:(:1`Y
:(:r'- `iX]S209 001 I.11...'T'RA J:RL!'::SHi =:I' 'I'W:I:I...I... f:s {:J1...:1:: 0 C
:C('iIiG2 50 001 BA SIC UNSTRUCTURED :f:{ C °Il.�ii:! ✓r 01
Ti1.1':]I::i:�:" 0 2 01 BASIC l.)]'•if:S1' UNSTRUCTURED 1:J.-Il" �:::1: C7.c
1:A:f7t327,5 2 001 I:;A`:iSIC i..li`•!'::S '.:'•'T' {ai..l::: 0 f::
:I:AA ?i::2 2 001 WAr:31-IED TWILL I°{f'tLF" ROLLED !.)I::: I�ai:: TS✓ C):ii±
l:A1:70 ;:,5 2 001 UJi ^i'::SI°{f::D TWILL I°AL..F° F:'I::il...l...f:::D i`1AFta...IN/' {^Ic:_:;
T.;tt:0 .'75 2 001 WASHED D TtA1:l:l...L HALF ROLLED i''•!i ^3',)'Kl 0
v
4/04/08
"�ACI-427
W()l,)l NBR::
65!.
0 OF CIARTON::.3:; 1. 1 0 C)F
ST
77 2: 7:1- �11
Fll
U
9 9
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
�7 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 PV9Y 3,7
q-2-4 Y1901 73 7 YZ
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
V 6 Oo& 3-7V0 bill(s) is (are) true and correct and that the
6 00 (o 3 97 materials or services itemized thereon for
which charge is made were ordered and
received except
5 20 0
Sigh ture
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund