208596 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 361326 Page 1 of 1
ONE CIVIC SQUARE THE ANTIGUA GROUP INC
CARMEL, INDIANA 46032 2903 PAYSHERE CIRCLE CHECK AMOUNT: $539.79
CHICAGO IL 60674 CHECK NUMBER: 208596
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CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 3640735 539.79 GOLF SOFTGOODS
LANTIGUk. INVOICE
The Antigua Group, Inc.
P.O. Box 5300, Peoria, AZ 85385 -5300 SLa?;Ien Tel: 623 523 -6000
Administration Tel: 800 562 -9777 Credit Fax: 623 523 -6008
Customer Service: 800 528 -3133
www.antigua.com
Cust No 45272 Order No 0001301072 Invoice No 3640735
PO No BGCRYDERCUPO42512 Dely No 1458144 Invoice Date 04/23/12
SOLD TO: 45272 SHIP TO:
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
ATTN:ACCTS PAYABLE ATTN:ACCTS PAYABLE
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL, IN 46033 CARMEL, IN 46033
US US
Contact:
Delivery Method Payment Terms
UPS Ground Delivery Net 30 DAYS
Invoice Due Date Ship Date Order Date Salesperson
05/23/12 04/23/12 03/22/12 Jeff Saldutti
SM MD LG XL 2X 3X 4X
Style number Ship Qty Unit Price U/M Extended Price
100207 3 18.50 EA 55.50
W'S S/L EXCEED
1 Logo;EB2979 RYDER CUP MEDINAH 2012 LC OT
001WH1 1, 1
022DKR 1
Style number Ship Qty Unit Price U/M Extended Price
100208 6 19.50 EA 117.00
EXCEED
1 Logo;E RYDER CUP MEDINAH 2012 LC OT
_001 WH
0 1 1
022DKR__�._�..M_ .'s .1. -r
Style number Ship Qty Unit Price U/M Extended Price
100208 1 20.50 EA 20.50
EXCEED
1 Logo;EB2979 RYDER CUP MEDINAH 2012 LC OT
001 WHI 1
Style number Ship Qty Unit Price U/M Extended Price
100222 2 19.50 EA 39.00
W'S EXCEED
1 Logo;EB2979 RYDER CUP MEDINAH 2012 LC OT
005NAV 1
X2 XS SM MD LG XL 2X 3X 4X
INTEREST WILL BE CHARGED AT THE RATE OF 1.75% PER MONTH Page 1(2)
User: CHEAN0995, Movex Jobld: 5266485912727293130IS193PF
-ANTIGUk,, INVOICE
The Antigua Group, Inc. Ovo�
P.O. Box 5300, Peoria, AZ 85385 -5300 SigZen Tel: 623 523 -6000
Administration Tel: 800 562 -9777 Credit Fax: 623 523 -6008
Customer Service: 800 528 -3133
www.antigua.com
Cust No 45272 Order No 0001301072 Invoice No 3640735
PO No BGCRYDERCUPO42512 Dely No 1458144 Invoice Date 04/23/12
X2 XS SM MD LG XL 2X 3X 4X
Style number Ship Qty Unit Price U/M Extended Price
100042 7 24.25 EA 169.75
TONE
-1-Logo;EB2979 RYDER CUP MEDINAH 2012 LC OT LG
005NAV 1 1 1
022DKR T14 1
Style number Ship Qty Unit Price U/M Extended Price
100203 4 24.25 EA 97.00
PHOENIX
1 Logo;EB2979 RYDER CUP MEDINAH 2012 LC OT LG
005NAV 1 1
022DKR
Style number Ship Qty Unit Price U/M Extended Price
100203 1 25.25 EA 25.25
PHOENIX
1 Logo;EB2979 RYDER CUP MEDINAH 2012 LC OT 2X
005NAV 1
Freight 15.79
Sub Total 524.00
Total Charges 15.79
Order Total 539.79
Total Quantity 24 TOTAL DUE 539.79
Please remit 539.79 due by 05/23/12 to
The Antigua Group, Inc. 2903 Paysphere Circle, Chicago, 11 60674
A.
hccount
Account
unt
I *It
'THE SALES TAX IS CALCULATED FOR EACH STYLE SIZE EXTENDED AMOUNT.
INTEREST WILL BE CHARGED AT THE RATE OF 1.75% PER MONTH Page 2(2)
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))
04/23/12 3640735 Soft Goods $539.79
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Antigua Group, Inc.
IN SUM OF
2903 Paysphere Circle
Chicago, IL 60674
$539.79
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 3640735 I 43- 560.06 I $539.79 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 30, 2012
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund