171020 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362771 Page 1 of 1
ONE CIVIC SQUARE OARSMAN CHECK AMOUNT: $255.16
CARMEL, INDIANA 46032 PO Box 790051
i,� ST LOUIS MO 63179 -0051 CHECK NUMBER: 171020
CHECK DATE: 411612009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356007 57191 255.18 GOLF HARDGOODS
ENVOICENO. PAGE
01 57191
RU CCED DURP$'
INVOICE DATE
P.O. Box 98, Bourbon, MO 65441
A Division of Paramount Apparel 1 /Oc /Olt
International, Inc.
TELEPHONE:
800 -948 -5454 REMIT TO: P.O. BOX 790051
FAX: 573- 732 -5177 ST. LOUIS, MO 63179 -0051
0 CITY OF CARMEL H CITY OF 'CARMEL
L B- ROOKSHIRE COUNTRY CLUB I BROOKSHIRE COUNTRY CLUB
D ATTN: PAUL BLOCKOMS 'P ATTN: PAUL BLOCKOMS
T 1 2120 13ROOKS PKWY T 12120 BROOKSHIRE PKWY
0 0
CARMEL- N 46Q33
L' CARMEL IN 46033
ORDER ACCOUNT h SALES YOUR PURCHASE
ORDER DATE MAN SNIP VIA Bourbon, F0.8. .e. TERMS
NUMBER NUMBER 3, ORDER O, NUMBER
MO
8 -52;! 3/18/09 1 46750 405 030909 1 a UPS GROUND PRERA I D F' NET 30
OTY SHIP
ITEM NUMBER DESCRIPTION l COLOR UNIT PRICE
Dz Ea EXTENDED PRICE
i
AI'7265/3782 FC tC
SHIP ASAP
6; MF0330 10 OZ CREW W /PAP "ING� NAVY 9. 95 59.70
j 6� Ml C3330A id —OZ CREW fret /PIPING DK OXFORD 9. 9'5 59.70
b! lFd3304 10--OZ CREW W /PIPING RED 9.95 I 5g. 70
6' MF03304 1 10 --OZ CREW W /PIPING CAR BLUE j 9,95 59.70
1 i
I
I
I
I i
WEIGHT LBS.
36 SALE AMOUNT $0
1 CARTONS FREIGHT 1
ORDER COMPLETE
571 -41
AM U1
PAY t'HIS
INVOICE NO, 1 255.1
ALL CLAIMS MUST BE MADE WITHIN 10 DAYS OF RECEIPT OF GOODS. NO RETURNS 'THE GOODS COVERED IN THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH
WITHOUT WRITTEN CONSENT. ALL CORRESPONDENCE TO BE MADE DIRECTLY THE FAIR LABOR STANDARDS ACT OF 1938"
TO OARSMAN SPORTSWEAR, P.O. BOX 98, BOURBON, MO 65441
Prescribed 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
U Jag SM a3-0 Purchase Order No.
2 a, 9'? Terms
L�yu� /Y]-rj Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
i
ON ACCOUNT OF APPROPRIATION FOR
�G� CGv -BSc
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), 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
ignature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund