HomeMy WebLinkAbout208013 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366166 Page 1 of 1
Q� ONE CIVIC SQUARE PUKKA INC CHECK AMOUNT: $390.00
CARMEL, INDIANA 46032 PO BOX 1427
LIMA OH 45802 CHECK NUMBER: 208013
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 GA00017 -IN 390.00 GOLF SOFTGOODS
Page: Page 1 of 1
Pukka Inc Invoice
PO Box 1427 Please Verify Remit To DATE INVOICE
Lima, OH 45802
Phone: 419 -429 -7808 03/29/12 GA00017 -IN
Fax: 419 -429 -7810
Sales Rep: Mike Herber
Sales Rep Phone No.: (317) 385 -0992
Bill To: Ship To:
Brookshire Golf Club Brookshire Golf Club
12120 BROOKSHIRE PKWY 12120 Brookshire Pkwy
CARMEL, IN 46033 -3314 Brian Ballard
Carmel, IN 46033 -3314
Customer Number: P03753
Customer P.O. Terms NDC Date Ship VIA F.O.B.
GA00017 Net 30 03/29/12 IED Shanghai
Quantity Item Code Description Price Each Amount
12 C014PU204 BETHESDA CAP NAVY 8.25 99.00
12 C014PU118 BETHESDA CAP WHITE 7.75 93.00
12 C014PU118 BETHESDA CAP WHITE 7.75 93.00
12 C014PU363 BETHESDA CAP CHARCOAL 8.75 105.00
Invoiced by Melissa Dyer
Date L Init.
Account 5 Q oo(,
Account
Account
Account
Total Pieces: 48.00
All discrepancies with product must be addressed within 14 days of receiving. Sales Tax: 0 .00
Total: 390.00
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))
03/29/12 I GA00017 -IN I Soft Goods I $390.00
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 N WARRANT NO.
ALLOWED 20
Pukka Inc.
IN SUM OF
P.O. Box 1427
Lima, OH 45802
$390.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 I GA00017 -IN 43- 560.06 I $390.00 I 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
Monday, April 02, 2012
Director, Brook h e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund