172761 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 359347 Page 1 of 1
1 ONE CIVIC SQUARE BURCO INTERNATIONAL INC CHECK AMOUNT: $118.00
CARMEL, INDIANA 46032 PO BOX 3139
ASHEVILLE NC 28802 CHECK NUMBER: 172761
CHECK DATE: 5/27/2009
DEPARTMENT ACCOUNT PO N UMBER IN NUMBER AMOUNT DESCRIPTION
1207 4230100 15164 118.00 STATIONARY PRNTD MA
B International, Inc.
P.O. Box 3139 nvoice" 15164
Agneville, NC 28802 ,-ate 5i7i2009
Phone (800) 388 -3864 Fax (800) 334 -3864 5 a ge 1
FEIN# 56- 1741414
Bill To: Ship To:
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Pkwy 12120 Brookshire Pkwy
Carmel IN 46033 Carmel IN 46033
h.
Purchase O'�der No T.Custonier ID.,. t a .FaymentTerms� .Reg�Ship;Date, Master No.
12914 UP RECEIPT 5/7/2009 15,164
Ordered j14 m
Descri 4ion
Unit Price Total
1.00 TEMP TEMPORARY SCORE CARDS $100.00 $100.00
i
r
S,uttota I $100.00
ORDER 97519 Taxr
0.00
PLEASE RETURN COPY WITH PAYMENT
Fr 18.00
Deposit $0.00
.$1.13...0.0
1 y\
Prescribed by Slat. Board of Accounts City Form No. 201 (Rev. 1995)
y 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.
PO. &X 31-39 Terms
f V Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
S 7 09
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
L,), 6ey 3/39 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
/20 /S //o 30100 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
ign ure
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund