HomeMy WebLinkAbout172272 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362823 Page 1 of 1
ONE CIVIC SQUARE CLICGEAR CHECK AMOUNT: $135.00
CARMEL, INDIANA 46032 1200 SE 2ND AVE
CANBY OR 97013 CHECK NUMBER: 172272
CHECK DATE: 5/1312009
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356007 356283 135.00 GOLF HARDGOODS
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Inv ®ice_ 3.5.6263
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Invoice Date 04/21/09
a division of ®�'L� -V 77
1200 SE 2nd Avenue
Canby, Oregon 97013
Bill To: Ship To:
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Parkway 12120 Brookshire Parkway
(',armel, IN 46033 Carmel IN 46033
Customer Ship via F.O.B. Terms
B00540 UPS $5 3% 60 Net 61 Days
Purchase Order Number Salesperson Order Date Our Order Number
Clicgear 31 04/07/09 260299
Quanity Quantity Back
Item Number Item Description Discount Tax Unit Price Ext. Price
Ordered Shipped Ordered
1 1 0 CGCO18 -YEL Clicgear Cart Model 2.0- Yellow N 130.00 130.00
7 CE PR IVED 3 22009
Shipping Subtotal 5.00
Nontaxable Subtotal 130.00
Taxable Subtotal 0.00
Tax 0.00
Questions regarding this Invoice? Please call 1 800 369 8642 Total Invoice 135.00
Customer Original Page 1
Prescribed b;O5tate P„)ard 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
R p_ag i I S 1 Purchase Order No.
6r) 5E 0j o pbr- Terms
��4a5 n2E S?G"� 97 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�a -o 7 /3 ;cam 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
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund