HomeMy WebLinkAbout179250 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 358995 Page 1 of 1
z ONE CIVIC SQUARE I G A/P G A INC CHECK AMOUNT: $10.00
CARMEL, INDIANA 46032 PO BOX 516
FRANKLIN IN 46131 CHECK NUMBER: 179250
CHECK DATE: 11/11/2009
DFPARTMENT ACCO PO NUMBER IN VOICE NUMBE AMOUNT DESCRIPTION
1207 4355300 5597 10.00 ORGANIZATION MEMBER
I DIANA GOLF OF I
Rr moting the Same, Honoring the`i'radition.
R
k?tfdBA'ti YCCFlON
BROOKSHIRE GC DATE: October 27, 2009
ATTN: ACCOUNTS PAYABLE
12120 BROOKSHIRE PKWY INVOICE: 5597
CARMEL, IN 46033
DATE REQUESTED 8/25/09
SCORECARDS $0.00
THERMAL LABELS $0.00
HANDICAP CARDS $0.00
SPECIAL REVISION UPDATE 2 $5.00 EACH $10.00
POSTAGE /SHIPPING: $0.00
TOTAL AMOUNT DUE: $10.00
THIS INVOICE IS FOR A SPECIAL REQUEST YOU MADE
ON YOUR HANDICAPS. THE AMOUNT IS WHAT THE USGA BILLED US FOR.
THANK YOU!
PLEASE DETACH BELOW AND SEND WITH YOUR REMITTANCE
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
4 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
6 &J e-le
as 2 K904 C' uo_ ,5 6
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
6 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
D,1 20 D
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund