HomeMy WebLinkAbout207096 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 358995 Page 1 of 1
ONE CIVIC SQUARE I G A/P G A INC
CARMEL, INDIANA 46032 PO BOX 516 CHECK AMOUNT: $2,044.50
FRANKLIN IN 46131
CHECK NUMBER: 207096
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 004026 250.00 ORGANIZATION MEMBER
1207 4355300 004287 1,794.50 ORGANIZATION MEMBER
Please De/ach And Return Top Portion With Your Payment
STATEMENT
CLUB NAME BILE DATE DUE DATE
Brookshire Golf Club 02/2212012 02/22/2012
REF# W:. DESCRIPTION FEE
004026 Club dues Association fee $250.00
If you have questions about your account, call 800 779 -7271. $250.00
Message(s):
Indiana Golf BlueGolf6
Iw.0✓AlNE 5v5rFAAS
Please Detach And Return Top Portion With Your Payment
STATEMENT
CLUB NAME`'.BILLf]ATE` -.DUE DATE
Brookshire Golf Club 03/01/2012 05/1512012
REF
DESCRIPTION FEE
004287 Existing members 97 Standard members $18.50 $1,794.50
If you have questions about your account, calf 800- 779 -7271. $1,794.50
Message(s):
Indiana Golf BIueGolf
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VOUCHER NO. WARRANT NO.
ALLOWED 20
IGA -PGA
Judy Deiwert IN SUM OF
P.O. Box 516
Franklin, IN 46131
$2,044.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Members
1207 004026 43- 553.00 $250.00 I hereby certify that the attached invoice(s), or
1207 004287 43- 553.00 $1,794.50 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
Thursday, March 01, 2012
Director, BrooksiXe Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/22/12 004026 Blue Golf Fees I $250.00
03/01/12 004287 Association Fees $1,794.50
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