176658 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 363298 Page 1 of 1
ONE CIVIC SQUARE BAG BOY CO.
CARMEL, INDIANA 46032 PO BOX 933671 CHECK AMOUNT: $110.71
ATLANTA GA 31193 -3671 CHECK NUMBER: 176658
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CHECK DATE: 9/2/2009
DEPARTM ACCOUNT PO NUMB INVOI NUMBER AMOUNT DE SCRIP T ION
1207 4356006 602781 110.71 GOLF SOFTGOODS
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CHRISTOPHER
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Bag Boy Co
PO BOX 933671 Invoice 602781
Atlanta, GA 31193 -3671
Telephone: 8041262 -3000 Invoice pate 08!20109
Bill To: Ship To:
BROOKSHIRE GOLF COURSE BROOKSHIRE GOLF CLUB
BROOKSHIRE FIRST MORTGAGE LLC 12120 BROOKSHIRE PKWY
12120 BROOKSHIRE PARKWAY CARMEL, IN 46033
CARMEL, IN 46033
Customer Ship Via F.O.B. Terms
FEDX WAREHOUSE Net 30 Days
Purchase OrderNumber Salesperson Order Date Our Order. Number
KASSEBAUM 630 08/24/09 478357
Quantity Shipped Item Number Unit of Measure Unit Price
Quantity Ordered Price
Back Ordered Item Description Discount "Tax Discount
1 1 39022 EA 85.00 85.00
0 OCB -15 Cart Bag Black BAC N
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roud Sponsor and 'Preferred Push Cart' of the Shipping Subtotal 25.71
erican Junior Golf Association (AJGA). Nontaxable Subtotal 85.00
Taxable Subtotal 0.00
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Tax 0.00
All prices, amounts, and totals are in USD US Dollars
Total Invoice Customer Original 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 21
Total
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
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IN SUM OF
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/D. �7/
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
d 7 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
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G �$i nature
tle
Cost distribution ledger classification if
claim paid motor vehicle highway fund