178916 10/28/2009 a- CITY OF CARMEL, INDIANA VENDOR: 359355 Page 1 of 1
ONE CIVIC SQUARE WITTEK
CHECK AMOUNT: $8.90
CARMEL, INDIANA 46032 3865 COMMERCIAL AVE
NORTHBROOK IL 60062 CHECK NUMBER: 178916
CHECK DATE: 10/2812009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 227165 8.90 EQUIPMENT REPAIRS M
NUMBER 227165
WF'TEKl
DATE 08 -06 -09
Committed To Serving The Game PAGE NO 1
3865 ClIMMERCIAL AVENUE NORTHBROOK, IL 60062
PHONE: 847 -943 2399.1- 800- 869 -1800 SO NBR H83709
FAX: 847 412 -9591 WEBSITE: wittekgoif.com
CUSTOMER NO: 527228
SOLD SHIP
TO CITY OF CARMEL TO CITY OF CARMEL
DBA BROOKSHIRE GOLF COURSE DBA BROOKSHIRE GOLF COURSE
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL, IN 46033 CARMEL, IN 46033
CUSTOMER ORDER NO.. SALESMAN OFFICE CODE DATE SHIPPED. VIA PCs. •TERMS
�:LI SSA RICHARDSON 01 -26 08 -06 -09 UPS 2% 10 N 30
Y ORDERED OTY.'SHIPPED BID PRODUCT NO. DESCRIPTION.. PRICE AMOUNT
10 GR 10 84119 BURGUNDY GOLF PENCIL 5.500 55.00
HEX WITHOUT ERASER
VISIT OUR NEW WEBSITE
www.wittekgolf.com
THANK YOU
SUBTOTAL DISCOUNT TAX SHIPPING TOTAL PAYMENT REC'D. AMOUNT
55.00 0.0 -0.0 0.00 8.90` 63.90 63.90
1 SERVICE CHARGE OF 1.5% PER MONTH (ANNUAL RATE SEE TEAMS &CONDITIONS 7
3 WILL BE ADDED TO INVOICES UNPAID AFTER 30 DAYS ON REVERSE SIDE
,MAGE AND SHORTAGE CLAIMS SHOULD BE MADE TO TRANSPORTATION COMPANY. NO MERCHANDISE ON THIS INVOICE IS RETURNABLE UNLESS
AIM IS MADE WITHIN 30 DAYS -AND ONLY THEN WITH OUR WRITTEN CONSENT. NO PRIVATE BRANDED GOODS MAY BE'RETURNED ATANY TIME.
Prescribed 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
Thom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
w) 1C Purchase Order No.
if �O /n yr R� Terms
"4 Ar Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 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.
20
Clerk- Treasurer
,VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
A Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
lab 7 a 5 9Q 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
�j 20 1
S nature
T le
Cost distribution ledger classification if
claim paid motor vehicle highway fund