157947 04/01/2008 CITY OF CARMEL, INDIANA VENDOR 359590 Page 1 of 1
g�ll ONE CIVIC SQUARE H2 GOLF COMPANY
CARMEL, INDIANA 16032 31 15794
CHECK NUMBER: 15794 CRADLE DR CHECK AMOUNT: 0
Cj�RMEL IN 46032 7
CHECK DATE: 4/112008
DEPARTMENT ACC OUNT PO NUMBER INVOICE N UMBER AMOUN DE
905 4467099 6 420.00 OTHER EQUIPMENT
H2 Golf Company Invoice
317 Gradle Drive
Date Invoice
Carmel. IN 46032
2/1/2008 6
Bill To Ship To
Brooshire Golf Course Brooshire Golf Course
Paul Blockoms Paul Blockoms
12120 Brookshire Pkwy 12120 Brookshire Pkwy
Carmel, In 46033 Carmel, IN 46033
P.O. Number Terms Rep Ship Via F.O.B. Project
2/1/2008
Quantity Item Code Description Price Each Amount
100 US Grips Pro Wrap grips 1.00 100.00
I GRIP station Gripping station 320.00 320.00
03 -24 -02 Al1:12
Total $420.00
Prescribed by State Board of Accoanls 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
I
hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
�J v �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_
Z IN SUM OF
2/ 7�'� �2
o 3 z
ZIZZo.
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
905 62 J 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
3 ZS 20 03
Slgn ure
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund