176296 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 363108 Page 1 of 1
ONE CIVIC SQUARE JAMIE SADOCK, LLC CHECK AMOUNT: $37.74
y° CARMEL, INDIANA 46032 7 WEST 18TH STREET
NEW YORK NY 10011
CHECK NUMBER: 176296
CHECK DATE: 8/1912009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1207 4356006 212791 37.74 GOLF SOFTGOODS
JAMIE SADOCK, LLC. CUSTOMER COPY
'7 WEST 18TH STREET T DA'`E
NEW YORK, NY 10011 212791 7/31/09
.TEL. (212) 463 -0463 I N V O I C E
ACCT#T?1 k�A
32502 1
Sold To: Ship To:
F CITY OF CARMEL 1 FCITY OF CARMEL
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 L-SARMEL, IN 46033
A late charge of 1.5% per month will be added for past due Balances.
WE ACCEPT VISA AND MASTERCARD
�TST Z'� DRRT R�ER# P Ci Z T TERMS..': SIIZP VIA SM ;FAOTOR. CFO::
PUD31009 -2 Melis 195871 NET 30 DAYS UPS GROUND 10
STy COLO I?�S�P1F�T.Ox S R LYNT�S EST N 1Q
-XS -S -M -L -XL
92253 01 JET /EBONY i 1 39.50 39.50
TOTAL UNITS 1 SUBTOTAL 39.50
PLEASE CHECK YOUR SHIPMENT UPON ARRIVAL. DISCOUNT 20.00% 7.90
ANY DISCREPANCIES WILL ONLY BE ACCEPTED FREIGHT 6.14
FOR 30 DAYS OF THE INVOICE DATE.
OTAL Ti7E $37.74
"Prescribe l-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
.�4 Wit' Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total SI), 7
1 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.
1 20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
-n-i S:�r�� is ��,�:r✓
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
��6 7
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice 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 D
Si nature
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund