211380 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 359368 Page 1 of 1
ONE CIVIC SQUARE MIDWEST GOLF&TURF
CARMEL, INDIANA 46032 10737 MEDALLION DRIVE SUITE A CHECK AMOUNT: $163.21
CINCINNATI OH 45241 CHECK NUMBER: 211380
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 87377 163 .21 EQUIPMENT REPAIRS & M
Invoice 87377
M 1 ® W E S
Invoice Date 07/09/12
C3 0 L F 7 U R F
Midwest Golf and Turf
10737 MEDALLION DRIVE
SUITE A
CINCINNATI, OH 45241 USA
Telephone: 866/514-TURF
Bill To: Ship To:
BROOKSHIRE GOLF COURSE BROOKSHIRE GOLF COURSE
12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 CARMEL, IN 46033
Customer Ship Via F.O:B. Terms..
-UPS - --NET'20-DAYS----_. --- --
Purchase Order Number Salesperson. Order Date L Our OrderNumber
JS 07/09/12 71509
Quantity Shipped Item Number Unit of Measure: Unit.Price
Quantity Ordered Extended Price
Back Ordered: Item Description ;Discount% Tax
1 1 4115939.7 EA 143.53 143.53
0 GUARD,TURF N
1 1 DROPSHIP EA 19.68 19.68
0 SHIPPING AND HANDLING- DIRECT N
Date Init.
Account # 06 $
Account # $
Account # $
Account # $
Nontaxable Subtotal 163.21
Taxable Subtotal 0.00
Tax(7.000%) 0.00
Total Invoice :161-2 1:1
Customer Original
Page 1
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))
07/09/12 87377 Repair Parts $163.21
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
Midwest Golf and Turf
IN SUM OF $
10737 Medallion Drive Suite A
Cincinnati, OH 45241
$163.21
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 87377 I 43-500.00 I $163.21 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
Wednesday, July 18, 2012
45�' rJ
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund