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208063 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 364221 Page 1 of 1 ONE CIVIC SQUARE TEAM GOLF CARMEL, INDIANA 46032 2639 ELECTRONIC LANE SUITE 105 CHECK AMOUNT: $200.94 s DALLAS TX 75220 CHECK NUMBER: 208063 CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356006 00226631 78.70 GOLF SOFTGOODS 1207 4356006 00226805 122.24 GOLF SOFTGOODS TEAM GOLF 2639 ELECTRONIC LANE I N V O I C E SUITE 105 DALLAS TX 75220 PHONE: (214) 366 -1595 FAX: (214) 366 -1599 Page 1 Acct BRO042 TG Order x00213425 Sold To: ATTN: BRIAN BALLARD Ship To: BROOKSHIRE CC BROOKSHIRES GOLF CLUB 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE GOLF CLUB CARMEL IN 46033 CARMEL IN 46033 Inv Date Rep ID PO No. PO Date Ship Via Terms Inv No, 041/03/1 -2 -Xis ]108].1 11/08/11 1ZE557810350367575 NET 30 00226631 Item /Description Quantities Units Price Amount 21422SN Ordered 3 INDIANA U SIGNATURE TOOL Shipped 3 EA 6,00 18.00 Customer's No.: 21422 23022SN Ordered 3 PURDUE U SIGNATURE TOOL Shipped 3 EA 6.00 18.00 Customer's No.: 23022 22122SN Ordered 3 NOTRE DAME (U OF) SIGNATURE TOOL Shipped 3 EA 6.00 18.00 Customer's No.: 22722 31222SN Ordered 3 INDIANAPOLIS COLTS SIGNATURE TOOL Shipped 3 EA 6.00 18.00 Customer's No.: 31222 Dat Init. Account (o D orn Account Account Account Thank You -for your order. Please include your acct PBRO042 on all remittances. Subtotal 72.00 Non- Taxable Taxable Sales Tax Freight Misc Invoice Tota 72.00 ,00 .00 6.70 .00 78.70 TEAM GOLF 2639 ELECTRONIC LANE I N V O I C E SUITE 105 DALLAS TX 75220 PHONE: (214) 366 -1595 FAX: (214) 366 -1599 Page 1 Acct BRO042 TG Order 100240686 Sold To: ATTN: BRIAN BALLARD Ship To: BROOKSHIRE GOLF CLUB BROOKSHIRES GOLF CLUB 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE GOLF CLUB CARMEL IN 46033 CARMEL IN 46033 Inv Date Rep ID PO No. PO Date Ship Via Terms Inv No, 04/04/12 XJS BGCASAP 03/22/12 1ZE557810350013938 NET 30 00226805 Item /Description Quantities Units Price Amount 21468 Ordered 3 INDIANA U APEX HC Shipped 3 EA 12,50 37,50 Customer's No,: 21468 22768C Ordered 2 NOTRE DAME (U OF) APEX HC Shipped 2 EA 12,50 25.00 Customer,'s No.: 22768 21480KI Ordered 3 INDIANA U WOVEN TOWEL Shipped 3 EA 8,50 25.50 Customer's No,: 21480 22780 Ordered 3 NOTRE DAME (U OF) WOVEN TOWEL Shipped 3 EA 8.50 25.50 Customer's No.. 22780 Date A Init. Account Account LI o� C� Account Account Thank You for your order. Please include your acct &BRO042 on all remittances. Subtotal 113.50 Non- Taxable Taxable Sales Tax Freight Misc invoice Tota 113,50 .00 ,00 8.74 .00 122.24 VOUCHER NO. WARRANT NO. ALLOWED 20 Team Golf IN SUM OF 2639 Electronic Lane Suite 105 Dallas, TX 75220 $200.94 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 00226631 43- 560.06 $78.70 1 hereby certify that the attached invoice(s), or 1207 00226805 43- 560.06 $122.24 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 09, 2012 Director, Brookshir 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)) 04/03/12 00226631 Soft Goods $78.70 04/04/12 00226805 Soft Goods $122.24 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