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202161 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: T358994 Page 1 of 1 ONE CIVIC SQUARE IGA /PGA, INC S CHECK AMOUNT: $18.50 CARMEL, INDIANA 46032 PO BOX 516 FRANKLIN IN 46131 CHECK NUMBER: 202161 CHECK DATE: 9127/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 18.50 ORGANIZATION MEMBER INDI NA GOLF OFFICE Promoting the Garne, Honoring the Tradition. MME September 12, 2011 Accounts Payable Brookshire Golf Club 12124 Brookshire Pkwy Carmel, IN 46033 2011 YEAR END INVOICE Thank you for your past support of the IGA -PGA Handicap service. This invoice represents the last handicap membership count to be conducted by The Golf Office for your facility in 2011. All outstanding balances are due in The Golf Office by November 1, 2011. As of this date, Brookshire Golf Club had 194 (not including juniors) listed as active in your console. The total IGA -PGA Handicap Service fees due for the 194 members at $18.50 each, represents $3589.00. To date you have paid handicap fees for 193 members, or $3570.50, leaving a balance due of $18.50. Thank you again for your support of Indiana golf. Remittance may be made by check or credit card to: 1 GA -PGA PO Box 516 Franklin, IN 46131 If you have any questions, or wish to pay by credit card over the phone, contact Judy at The Indiana Golf Office 317.738.9696 ext. 226. Indiana Golf Office P.O. Box 516 Franklin, IN 46131 VOUCHER NO. WARRANT NO. ALLOWED 20 IGA -PGA Judy Deiwert IN SUM OF P.O. Box 516 Franklin, IN 46131 $18.50 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 43- 553.00 $18.50 I hereby certify that the attached invoice(s), or 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 Thursday, September 15, 2011 Director, Brookshireftolf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 199: 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)) 09/12/11 Handicap Fees $18.5 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