175620 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 359347 Page 1 of 1
ONE CIVIC SQUARE BURCO INTERNATIONAL INC CHECK AMOUNT: $796.00
CARMEL, INDIANA 46032 PO BOX 3139
ASHEVILLENC 28802 CHECK NUMBER: 175620
CHECK DATE: 8/6/2009
DEPA AC COUNT PO NUMBER INVOICE NUMB AMOUNT DESC
1207 4230200 15960 796.00 OFFICE.SUPPLIES
8urco International, Inc.
P.O. Box 3139 rivaice 15960
Asheville, NC 28802 aye a 7i29i2009
Phone (800) 388 -3864 Fax (800) 334 -3864 age 1
FEIN# 56- 1741414
�Pi ro: Ship To:
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Pkwy 12120 Brookshire Pkwy
CarmellN 46033 Carmel IN 46033
,Purchase.Otder No Cust lD ,,��d N U Payment Terms; 9 Es Re .Shi IJate E MastertNo. k
12914 NET 30 7/29/2009 15,960
x, 4 w e
n l Pr
;i�eSCfl t�0�3._, Jt.. tGe: Total,.
5.00 SC 5 X 12 SCORECARD 5 X 12 $151.20 $756.00
This order shipped to the course location on
718/09
Subtotal, $756.00
ORDER 91584 Tax 0.00
PLEASE RETURN COPY WITH PAYMENT Freight; 40.00
oslt $0.00
Total $796.00
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
U rev f >1fi(! r61cJ� o Nc j In L Purchase Order No.
Terms
jy��� �L Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
DA scC Pe— c f-&5
Total 7 9
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
e V c[ o #\+e-r l C.Y a A C I N SUM OF
Q Q DX 313 5
Ashes,,% \e_, L
.ON ACCOUNT OF APPROPRIATION FOR
�t•c� �1C�1 (9v1� �1 �b
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
}a o f59wo 3oaDD ?ql -00 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
S g ature
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund