207763 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 362822 Page 1 of 1
ONE CIVIC SQUARE CMC GOLF INC
CARMEL, INDIANA 46032 15695 N 83RD WAY CHECK AMOUNT: $142.12
SCOTTSDALEAZ 85260
CHECK NUMBER: 207763
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 0130752 -IN 142.12 GOLF SOFTGOODS
Invoice Page: I
INVOICE NUMBER: 0130752 -IN
15695 No rt Gol Inc. h 83rd Way INVOICE DATE: 3/20/2012
15695
�GALF:
Scottsdale, AZ 85260 ORDER NUMBER: 0113515
(480) 483 -2163 ORDER DATE: 10/24/2011
SALESPERSON:
Jeff Saldutti
CUSTOMER NO: 01-C18655
SOLD TO: SHIP TO:
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Golf Club 12120 Brookshire Golf Club
Carmel, IN 46033 Carmel, IN 46033
CENFIR1Vf-TO: Brian Bullard
CUSTOMER P.O. SHIP VIA F.O.B. TERMS
PS GROUND az Net 30
ITEM NO. UNIT ORDERED SHIPPED BACK ORD' PRICE AMOUNT
IIBM25416ANWH EACH 12.00 12.00 0.00 1.000 12.00
Brookshire GC Ball Marker
(INSTRUCTIONS EACH 1.00 1.00 0.00 0.000 0.00
ASSEMBLY INSTRUCTIONS:
Following to be inserted into items below
IIBM25416ANWH EACH 36.00 36.00 0.00 0.000 0.00
Brookshire GC Ball Marker
IRT02989SNBK EACH 12.00 12.00 0.00 3.950 47.40
Z Tool w/ Black Leather Thumb
IRT16173SN EACH 12.00 12.00 0.00 3.000 36.00
Z Tool E (w /o clip)
iRTi5683SN EACH 12.00 12.00 0.00 3.000 36.00
Z Tool T w /Thumb Rest -no clip
Date 3 2� C�
Init.
Account 5
Account
Account
Account
Net Invoice: 131.40
Less Discount: 0.00
Freight: 10.72
All claims must be made IN WRITING within ten (10) business days of receipt of Sales Tax: 0.00
goods Invoice Total: 142.12
VOUCHER NO. WARRANT NO.
ALLOWED 20
CMC Golf, Inc.
IN SUM OF
15695 North 83rd Way
Scottsdale, AZ 85260
$142.12
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1207 I 0130752 -IN I 43- 560.06 I $142.12 1 hereby certify that the attached invoice(s), or
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 29, 2012
Director, Brooks ire 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))
03/20/12 0130752 -IN Soft Goods $142.12
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