159986 05/28/2008 f CITY OF CARMEL, INDIANA VENDOR: 359368 Page 1 of 1
0 t ONE CIVIC SQUARE MIDWEST GOLF TURF CHECK AMOUNT: $76.92
CARMEL, INDIANA 46032 10737 MEDALLION DRIVE SUITE A
CINCINNATI OH 45241 CHECK NUMBER: 159986
CHECK DATE: 5/2812008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESC
X05 4238900 16049 76.92 OTHER MAINT SUPPLIES
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Invoice 16049
Invoice Date 05/09/08
Midwest Golf and Turf
10737 MEDALLION DRIVE
SUITE A
CINCINNATI, OH 45241 USA
Telephone: 866/514 -TURF
Bill To: Ship To:
BROOKSHIRE GOLF COURSE BROOKSHIRE GOLF COURSE
12100 BROOKSHIRE PARKWAY 12100 BROOKSHIRE PARKWAY
CARMEL, IN 46033 CARMEL, IN 46033
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20 -039 NET 20
YPurchase;,Order Number, Salesperson w, �,Order?Date Our Order`'Number
John JS 05/09/08 13003
:J Shippe Item Numb "er Unit of Measure Unit Price' tl
Quantity�Ordered ,Quantity, a �s Y ac �'1 �Extende Pnce'
Back Ordered Jtem Descn tioh W Discount Taxi
1 1 P521749 EA 66.32 66.32
0 ROLLER ANTI SCALP 4" W /PIN Y
Shipping Subtotal 10.60
Nontaxable Subtotal 0.00
Taxable Subtotal 66.32
Tax (7.000
W �n
Total Invoice
Customer Original Page 1
Midwest Golf and Turf Order Number: 13003
10737 MEDALLION DRIVE Order Date: 05/09/08
SUITE A Page: 1
CINCINNATI, OH 45241 USA
PICKING TICKET
Bill To: Ship To:
BROOKSHIRE GOLF COURSE BROOKSHIRE GOLF COURSE
12100 BROOKSHIRE PARKWAY 12100 BROOKSHIRE PARKWAY i
CARMEL,IN 46033 CARMEL,IN 46033
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i
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Customer Salesprsn Purchase Order Ship Via F.O.B. Our Order
20 -039 JS John None None None
5
Item Cust
Line Description Req Date Location U/M Open Qty Qty Picked Bin
1 P521749 05/09/08 KY EA 1
ROLLER ANTI SCALP 4" W /PIN
Packed By: Total Weight/Shipping Charges:
Received By: Total Packages:
Printed on 05/09/08 at 2:14 PM
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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, 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))
5— _off l L 6. 7z
Total 76 'F Z
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
359368 IN SUM OF
Midwest Golf Turf
10737 Medallion Dr 4A
Cincinnati OH 45241
ON ACCOUNT OF APPROPRIATION FOR
q05 13 (7-C—
Board Members
90# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. Q I hereby certify that the attached invoice(s), or
0 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
=2009
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�at.
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund