HomeMy WebLinkAbout173269 06/10/2009 a CITY OF CARMEL, INDIANA VENDOR: 362823 Page 1 of 1
ONE CIVIC SQUARE CLICGEAR
I� CARMEL, INDIANA 46032 1200 SE 2ND AVE CHECK AMOUNT: $109.00
CANBY OR 97013 CHECK NUMBER: 173269
CHECK DATE: 6110/2009
DEPART ACC PO NUMBER INV NUMBER A MOUNT DESCRIP
1207 4356007 359916 109.00 GOLF HARDGOODS
Invoice 359916
Invoice Date 05/14/09
a division of aQ��®
1200 SE 2nd Avenue
Canby, Oregon 97013
Bill To: Ship To:
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Parkway 12120 Brookshire Parkway
Carmel, IN 46033 Carmel IN 46033
F.O.B.:. Terms
B00540 UPS Origin 3% 60 Net 61 Days
Purchase Order Number Salesperson Order. Date Our Order Number'"
Melissa PUD 31 05/12/09 264413
Quanity Quantity Back
Item Number Item Description- Discount Tax Unit Price Ext. Price
Ordered Shipped, Ordered
1 1 0 CGC018 -YEL Clicgear Cart Model 2.0- Yellow N 95.00 95.00
MAY 2 6 2009
BY:
Shipping Subtotal 14.00
Nontaxable Subtotal 95.00
Taxable Subtotal 0.00
Tax 0:00
Questions regarding this Invoice? Please call 1 800 369 8642 Total Invoice 109.00
Customer Original Page 1
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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, 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.
<3 E Terms
CCL v� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
l y 0c1 559 Cj LL C e O_r 0-y
Total 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
IN SUM OF
Z(5Z7 S �n G� P�n u e
CO- nvx� n q 1013
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
10'61 3`5qq 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
Si ature
ev 4�e/
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund