170166 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 362666 Page 1 of 1
ONE CIVIC SQUARE WILSON SPORTING GOODS
G CHECK AMOUNT: $173.83
CARMEL, INDIANA 46032 PO BOX 3135
CAROL STREAM IL 60132 -3135 CHECK NUMBER: 170166
CHECK DATE: 3/1812009
.DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356007 4505796167 173.83 GOLF HARDGOODS
I
I f
i
I NVOI CE INVOICE 4505796167
DATE: 02/2812009
PURCHASE ORDER Golf Bags
8750 W. Bryn Mawr Avenue, Chicago IL 60631 TERMS OF PAYMENT -Net 60
ACCOUNT 1 STORE 222955 222955
For Inquires Contact:
ROBERT MACIOROWSKI TEL 773 -714 -6599
FAX 773 -714 -4553
Iflr�l�ll�rll�rrr�llrift! rrrllr�rll��r�lltlrrl�rltllll ..r..11l SHIP TO:
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
CITY OF CARMEL CITY OF CARMEL
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL IN 46033 -3314 CARMEL IN 46033
USA
Page 1 of 1
Shipped Via Date From B!L Cartons
FEDEX GROUND PREPAID. 02/27/2009 MT JULIET, TN 1000122209 04002
Marked For Order Number Sales Rep. Delivery Number
3102990323 Tom Richardson (Golf) 4006214204
Qty Shfpped „Qt Backorder UOM r Stock;r N U
m t
nit P ri tende&,,' c
1 0 EA WGB931102LEPD 78.00 78.00
WIS FASHION CART BLACK LEOPARD
1 0 EA WGB931102ZEBRA 78.00 78.00
W!S FASHION CART WHITE ZEBRA
Tracking Number(s):
749427673497272 749427673497296
RECEIVED
MAR 0 3 2009
BY:
Merchandise is shipped FOB shipping location. No merchandise is returnable unless
claim is made within 30 dayso f invoice date and permission granted for such return. Payment Schedule MDSE TOTAL 156.00
Claimsf or shortageldamage must be made within 30 dayso f receipt. When making
any inquiry please refer to the above Invoice and Customer If Paid by Please pay FRT 8r HDLG 17.83
A service charge of 1.5% per month or 18% per annum will be assessed on all past
due items Dormant credit balancesw ill incur a handling charge. 04/29/2009 186.00 OTHER
We hereby certify that all goods and servicesc overed by this invoice were produced
and furnished in compliance with the requirememsc f the Fair Labor Standards Act of TAX 1 2.17
1938, asa mended, and any regulationsa nd ordersi ssued thereunder.
TOTAL` "1 $6 00'`
Please include the stub below with your payment USD
Prescribed by Stake 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
I �GZeGi �P ��,�5 Purchase Order No.
/�s' Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�D� GSA
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
ON ACCOUNT OF APPROPRIATION FOR
1,26 6Z/V 60 e-
Board Members
PO# EP or INVOICE NO. ACCT #/TITLE AMOUNT
o�Pr. I hereby certify that the attached invoice(s), or
/90/? S(ola -o 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
7- Si nature
�j� 2
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund