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163911 09/17/2008 a CITY OF CARMEL, INDIANA VENDOR: 361088 Page 1 of 1 ONE CIVIC SQUARE PREMIUMWEAR, INC CHECK AMOUNT: $154.08 CARMEL, INDIANA 46032 sos 12-1459 Po Box as s� MINNEAPOLIS MN 55486 -1459 CHECK NUMBER: 163911 CHECK DATE: 9/1712008 DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1150 4356006 7488155 154.08 GOLF SOFTGOODS I 5500 Feltl Road Minnetonka. MN 55343 -7902 INVOICE F 952 979 -1700 pAQEL ac YUYYL 'Ir" fax 952 979 -1709 Credit Inquiries: Kelly McLoughlin 800 248 -0158 Extension 5036 ACCOUNT NO. SHIP TO E -mail: mcloughlin@premiumwear.com 00056843 001 r REMIT TO: Sales Inquiries: r PREMIUMWEAR, INC 800 -527 -3830 INVOICE DATE INVOICE SDS 12 -1459 PO BOX 86 2/20/08 7488155 MINNEAPOLIS, MN 55486 -1459 PAGE 1 S CITY OF CARMEL BROOKSHIRE GOLF CLUB O BROOKSHIRE GOLF CLUB H 12120 BROOKSHIRE PKWY L D P 12120 BROOKSHIRE PKWY I T T O CARMEL IN 46033 O CARMEL IN 46250 ORDER DATE CUSTOMER ORDER NO. PICK TICKET# ORDER CONTROL NO, NO. SALESPERSON 2/13/08 1 2/29 5276958/000 5276958 510 Medusa Sports SHIP VIA TERMS WHSE WEIGHT LBS CARTONS BILL OF LADING FXGR NET 030 DAY TN 7.65 1 STYLE DESCRIPTION CLR SIZE UNITS PRICE EXTENDED PRICE E 1415 LDS QUILTED JCKT ARP L 1 28.95 28 fK: 8 95 :2: 1435 LDS;: 1` t) P<>:': 1425 LDS QUILT JKT /VST AVO M 1 28.95 28.95 SBK Ii 1: 5 >i'::: j_V:ST: i 1425 LDS QUILT JKT /VST DKN XL 1 28.95 28.95 OTHER ;L`HARfs.. ":::1?i$`p: TOTAL SHIPPED 10 GROSS 144.75 MISC. CHARGES .00 ORDER COMPLETE SHIPPING HANDLING Look for us on the Web at www.pageandluttle.com TAX TOTAL DUE I THIS INVOICE DUE 3/21/08 NO RETURNS ACCEPTED WITHOUT WRITTEN AUTHORIZATION 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2 20 og 7 SWT Totalu� D 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 N ALLOWED 20 Q� IN SUM OF �ij-4� SS 3- -7 D ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1 5-0 Z 68 !ov off 5 v8 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 20 47 S�gnZ Titl e 11 Cost distribution ledger classification if claim paid motor vehicle highway fund