HomeMy WebLinkAbout163600 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 361185 Page 1 of 1
ONE CIVIC SQUARE ADAMS GOLF LTD CHECK AMOUNT: $371.32
CARMEL, INDIANA 46032 P 0 BOX 951897
DALLAS TX 75395 -1897 CHECK NUMBER: 163600
CHECK DATE: 9/17/2008
D EPARTMENT ACCOUNT P O NUMBER INV NUMBER AMOUNT DESCRIPTION
1150 4356006 90977040 371.32 GOLF SOFTGOODS
INVOICE REPRINT
Please Remit To: invoice Number: 90977040
PO BOX 951897 Invoi ce Date: April 9,200e
Dallas, TX 7 53 95 -189 7 Paymrt TerTm: Net 30
Due Date: May 9, 2008
MOUNT DUE: 371.32 use
sales Rep Jeff saldutti Amount R mitt
Bill To: 1033808 Ship To:
Brookshire Golf Club Brookshire Golf Club
Chip Cragin 12120 Brookshire Golf Club
12 12 0 Brookshire Golf Club Carmel IN 46033
Carmml IN 46033 United States
f United 5tateS
PO: DEMO ORDER,#: %00444878
L Product Description Qty Amt EX Amt Net
1 373999130 mens A305 iron Set RH Graph Reg 1 361.97 361.97 361.97
2 FREIGHT Freight 1 9.35 9.35 9.35
Subtotal: 371.32
AM0 UNT DUE: 371.32
***PLEASE NOTE OUR NEW REMIT TO ADDRESS AT THE TOP OF THIS INVOICE`
We also accept VISA, MASTERCARD, DISCOVER, AMERICAN EXPRESS and Checks byphone.
2801 EAST PLANO PKWY PLANO TX 75074
PH. 972 -673 -9000 800 -622 -0609
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
7 f 6- 7,-?
IN SUM OF
/4-'
s 7�3�.s =897
37/ 3
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice or
Elsa 1 '77d�o bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund