205414 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 359348 Page 1 of 1
ONE CIVIC SQUARE CALLAWAY GOLF COMPANY CHECK AMOUNT: $78.37
CARMEL, INDIANA 46032 PO BOX 9002
CARLSBAD CA 92018 -9002 CHECK NUMBER: 205414
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 0922484765 78.37 GOLF SOFTGOODS
Callaway Golf Company
a11d1t� 2180 Rutherford Road
Carlsbad, CA 92008 -7328
PO Box 9002 Carlsbad CA 92018 -9002
Invoice Details Telephone: 800 588 -9836
Fax: 760 -931 -1771
Invoice Number: 0922484765 CustomerService (&CallawayGolf.com
Account: Ship To Account:
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL, IN 46033 CARMEL, IN 46033
Invoice Details
Invoice Date: 5110/2011 Callaway Order Number: 0032239493
Order Date: 5/5/2011 Delivery/Reference: 0813496692
P.O. Number: Brad PUD Terms: Net Due 60 days
Ship Method: UPS GRD /STD
ITEM TAG PRODUCT QUANTITY UNIT PRICE ITEM TOTAL
73229342534 PT LH WHITE ICE 2 34 1 $71.25 $71.25
Current Subtotal: $71.25
Applicable Sales Tax: $0.00
Freight Charges: $7.12
Total Due: $78.37
This invoice can be submitted to any accounts payable /payment disbursement office for payment to Callaway
Golf company. In the event of an inconsistency between the invoice reprinted from Callaway- Connect, and the
records of Credit, the latter shall control. This invoice is intended to be valid for tax and audit purposes.
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))
05/10/11 0922484765 Soft Goods $78.37
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
Callaway
IN SUM OF
P.O. Box 9002
Carlsbad, CA 92018 -9002
$78.37
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 0922484765 43- 560.06 $78.37 1 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
Wednesday, January 11, 2012
Director, BrookshirEOGolf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund