172572 05/13/2009 p. L4q
CITY OF CARMEL, INDIANA VENDOR: 359357 Page 1 of 1
D 4, ONE CIVIC SQUARE T -TIME DESIGNS INC CHECK AMOUNT: $448.80
ro CARMEL, INDIANA 46032 P 0 BOX 295
RUSHVILLE IN 46173 CHECK NUMBER: 172572
CHECK DATE: 511312009
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238000 13902 448.80 SMALL TOOLS MINOR E
�q
T -Time Designs, Inc. Invoice
PO Box 295
Rushville, IN 461.73 DATE INVOICE
1- 888 933 -9033 5/1/2009 13902
BILL TO SHIP TO
Brookshire Golf Club Brookshire Golf Club
ATTN: Golf Club ATTN: Golf Shop
12120 Brookshire Pky 12120 Brookshire Pky
Carmel, IN 46033 -3314 Carmel, IN 46033 -3314
TERMS REP
Net 30 HSE
QUANTITY ITEM CODE DESCRIPTION PRICE EACH AMOUNT
2 BRP Buggy "Ranger" Protector 175.00 350.00T
1 Ranger Cap Ranger Caps 55.00 55.00T
Freight Chg Shipping Handling If Applicable) 43.80 43.80
PO# 042109 -1
Sales Tax 0.00 0.00
Total $448.80
CALL TOLL FREE AT 1 -888- 933 -9033 TO RE -ORDER OR TO ASK QUESTIONS OR
LEAVE COMMENTS.
Prescribelby SIR 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
C e S��- Purchase Order No.
6 9,�7 Terms
UI ��Ef tti Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I 'Q D a, ,G �2a G c3 �'S d
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
,20 2 6614? L�
Board Members
Pon or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 26 G d 3 6 -cD 4VP, -e 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
i nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund