156501 02/02/2008 CITY OF CARMEL, INDIANA VENDOR 359590 Page 1 of 1
ONE CIVIC SQUARE H2 GOLF COMPANY
CHECK AMOUNT: $145.00
CARMEL INDIANA 46032 319 CARMEL oe
IN
CPRMEI. iN asoaz CHECK NUMBER: 156601
CHECK DATE: 212112008
DEPARTMENT A CCOUN T PO NUMBER INVOICE NUMBER AM DES
905 4356007 5 145.00 GOLF HARDGOODS
1�
1
H2 Golf Company In
317 Gradle Drive
Date Invoice
Carmel, IN 46032
I /31 /2008 5
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
1/31/2008
Quantity Item Code Description Price Each Amount
I SG -2 Sky Caddie SG -2 145.00 145.00
Demo pricing
Said �s�r 54.40
T ota l $145.00
Brookshire Golf Club
12120 Brookshire Parkuay
j Carnal, IN 46033
317 -846 -7431
Transaction p: 41027
Date: 11/30/2007 Tine: 2:00:04 PH
Cashier: 101 Register q: 1
Credit Card XXXXXXXXXXXX4277
AUTH: 03066C
AHOUNT: 5185.50
i
X
I AGREE TO PAY AB TOTAL A UNT
ACCORDING TO CARD ISSUER A NT
Golfer's assune responsibily for any danages,
injuries or libilities that arise fron operating golf
carts and further hold harnless Brookshire Golf
Club fron any danages setforth above. No one under
the age of 16 is alloued to operate a golf cart
Brookshire Golf Club
Item Movement History Report
Generated On 215/2008
Filter:(Item Lookup Code 2002805) AND (Date 11/30/2007)
O Overall -1.00
1 -IJ Golf Hard Goods -1.00
Goff Hard Goods GOLF ACC. 2002805 SKY CADDIES Sales /Return -1.00 11/30/2007 41027 Pro Shop 1
Page 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Fonn 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
2- /V� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
31 08 s S�
Total f yS, 0
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
2 IN SUM OF
3
//V ylo v3�
6
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
US 5 S60o 7 /y5�� 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
2 /d' 20 Dcy
Sq nature n
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund