HomeMy WebLinkAbout161936 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361429 Page 1 of 1
ONE CIVIC SQUARE M D A CHECK AMOUNT: $203.00
1 CARMEL, INDIANA 46032 PO BOX 794
MONUMENT CO 80132 CHECK NUMBER: 161936
(SUM G
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DE SCRIPTI O N
905 4239045 21837 203.00 RETAIL GOODS
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MDA MAXX SUNGLASSES
IhVOi.ce
MAXX SUNGLASSES E
PO BOX 794 I DATE INVOICE
MONUMENT CO 80132
2183�j
BILL TO SHIP TO
Brookshire Golf Club IN Brookshire Golf Club IN i
MELISSA MONTGOMERY I MELISSA MONTGOMERY
j 12120 Brookshire Parkway 12120 Brookshire Parkway
I Carmel, IN 46033 Carmel, IN 46033
I i
TERMS DUE DATE REP SHIP VIA
I
O�J';RECEIPT 7118/200$„' HJW 7/3/2008 UPS
QUANTITY DESCRIPTION y EA AMOUNT J
8 MAXX 2 (4 BLK, 2 RED, 2 BLU) 8.00 64.00
2 MAXX 3 0.00 0.00 I
8 MAXX 4 (2 TORT, 1 WH, 1 BLU, 2 CIN, 1 PK, 1 PUR) 8.00 64.00
8 MAXX CINCO (4 BLK, 2 WH, 2 RED) 8.00 64.00
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SHIPPING AND HANDLING 11.00 11.00
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E
i
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I
SEE ALL OUR STYLES ON OUR WEB SITE!
wwN.maxxsunglasses.com I j
PLEASE MAKE CHECKS PAYABLE TO "MDA"
WE ACCEPT MASTER CARD, VISA AND DISCOVER THIS INVOICE $203.00
877.550.8116 PHONE
719.622.13 53 FAX
L I TOTAL DUE THIS ACCOUNT $407.95
,p
(MDA) MAXX SUNGLASSES a.
MAXX SUNGLASSES
PO BOX 794 DATE INVOICE
MONUMENT CO 80132
7/3/2008 21837
BILL TO SHIP TO
Brookshire Golf Club IN Brookshire Golf Club IN
MELISSA MONTGOMERY MELISSA MONTGOMERY
12120 Brookshire Parkway 12120 Brookshire Parkway
Carmel, IN 46033 Carmel, IN 46033
TERMS DUE DATE REP SHIP VIA
�®N RECEIPT�� �7I1,8I2008 HJW 7/3/2008 UPS
QUANTITY DESCRIPTION EA AMOUNT
8 MAXX 2 (4 BLK, 2 RED, 2 BLU) 8.00 64,00
2 MAXX 3 0.00 0.00
8 MAXX 4 (2 TORT, 1 WH, 1 BLU, 2 CIN, 1 PK, 1 PUR) 8.00 64.00
8 MAXX CINCO (4 BLK, 2 WH, 2 RED) 8.00 64.00
SHIPPING AND HANDLING 11.00 11.00
SEE ALL OUR STYLES ON OUR WEB SITE!
www.maxxsunglasses.com
PLEASE MAKE CHECKS PAYABLE TO "MDA"
WE ACCEPT MASTER CARD, VISA AND DISCOVER THIS INVOICE $203.00
877.550.8116 PHONE
719.622.1153 FAX
TOTAL DUE THIS ACCOUNT $407.95
Brookshire Golf Club Inventory Received Report
12120 Brookshire Parkway Order Number: 07182008-1
Carmel, IN 46033 IIlI II IIIIIIIIl 111111 llli111111 ME 1111
Orden 000
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2002907 MAXX SUNGLASSES 24 24 0 $8.46 $203.04 $0.00
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Authorized by Date
Order Number: 07182008-1 Page 1 of 1
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
M l n 0.S S Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
93"7 aU3 .oa
Total p
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
Lb 2L
�0 3.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
V7 ap3.a� bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received exce
t
a IL 20 0
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund