179676 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 361234 Page 1 of 1
ONE CIVIC SQUARE GLOBAL TOUR GOLF CHECK AMOUNT: $87.78
So CARMEL, INDIANA 46032 1345 SPECIALTY DRIVE SUITE E
VISTA CA 92081 CHECK NUMBER: 179676
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356007 167628 87.78 GOLF HARDGOODS
Global Tour Golf
1345 Specialty Drive Invoice
Suite E
Vista, CA 92081
Tel (760) 599 -9339
Fax (760) 599 -9208 Customer No.: BROOKSHIREGC
Invoice No.: 167628
r
Bill To: Brookshire GC Ship To: Brookshire GC
12120 Brookshire Pkwy. 12120 Brookshire Pkwy.
Carmel, IN 46033 Carmel, IN 46033
11/10/09 mike drop 11/10 kb Origin Net 30
Purchase s. Numbe
eik /mike 11/10/09 Mike Herber 119321
buan'tify 'Unit
Pescrip
11 11 18150 New Decade Multi- Compound 7.98 87.78
Blue
46.5 grams
mike dropped off 11/10
Invoice subtotal 87.78
Invoice total 87.78
For Billing Questions call 760- 599 -9339 ext.15
Thank You
'Yrescribed 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
Do/ Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total g
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
20,02
I
f'yl I Gn 5r_J,2t�
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund