HomeMy WebLinkAbout173095 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $369.76
�o CARMEL, INDIANA 46032 305 SOUTH POST ROAD
INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 173095
CHECK DATE: 5/27/2009
D EPARTME NT ACCOUNT PO N UMBER I NVOICE NUMBER AM OUNT DESCRIPTION
1207 4356006 0184783 369.76 GOLF SOFTGOODS
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AM 0 A
o Invoice Date Invoice No.
e 05/08/2009 0184783
Terms
I; Net 30 Days
.Sold To Shipped To
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 CARMEL, IN 46033
I�Ir� Il. ,�lltll���l11111111111IfIIIIIII Melissa Montgomery
Sales e Customer Job Ship ���j ped Pers on ?ash ��latso eo.No.. No. 072414 Dat® 05/01/20 UPS GROUND
o
ASI- 805087 144 Bottle, High Sierra Sport 22oz 1.67 EACH 240.48
Set Up Charge 55.00
Typesetting 48.75
I
Freight: 9 ��.25.53
I
Sales Tax: ':00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 369.76
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
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
w Purchase Order No.
el
305 ,B e7cm_ P� )eoa-
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5_g-_ olgq7
Total 3
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
30
30.
ON ACCOUNT OF APPROPRIATION FOR
A617�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/a07 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
S'gn re
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund