HomeMy WebLinkAbout171795 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362823 Page 1 of 1
ONE CIVIC SQUARE CLICGEAR
CARMEL, INDIANA 46032 1200 SE 2ND AVE CHECK AMOUNT: $135.00
CANBY OR 97013
CHECK NUMBER: 171795
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
1207 4237000 354513 135.00 REPAIR PARTS
F,.
Invoice 354513
Invoice Date 04/07/09
1200 SE 2nd Avenue
Canby, Oregon 97013
Bill To: Ship To:
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Parkway 12120 Brookshire Parkway
Larmel, IN 46033 Carmel, IN 46033
Ship Via" F'O.B. :r ar^1S
B00540 UPS $5 3% 60 Net 61 Days
n Purchase Order Number Salesperson Order Date Our Order Number
Clicgear 31 04/07/09 260299
Quanity Quantity Backi
Item Number Item Description Discount Tax Unit Price Ext. Price"
Ordered- Shipped Orde "red
1 1 0 CGCO12 -BLU Clicgear Cart Model 2.0 -Blue N 130.00 130.00
1 0 1 CGCO18 -YEL Clicgear Cart Model 2.0- Yellow N 130.00 0.00
RECEIVED
APR 13 2009
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
PrescribedAoy Stat 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
�1 EAR Purchase Order No.
loo 1)6, Terms
t 6k Po,J g `�O /ff Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total ,J� 06
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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
20
Si t��
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund