211789 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: T358994 Page 1 of 1
ONE CIVIC SQUARE IGA/PGA,INC
0 f' CARMEL, INDIANA 46032 PO Box 516
CHECK AMOUNT: $83.50
FRANKLIN IN 46131
CHECK NUMBER: 211789
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4230200 730111 83 . 50 OFFICE SUPPLIES
INDIANA GOLF OFFICE • � - :�� .
Promoting the Game, Honoring the Tradition. „�''�.
Omni
Brian Ballard DATE: 7/30/2012
Brookshire Golf Club INV: 730111
12120 Brookshire Pkwy
Carmel,IN 46033-3314
QUANTITY AMOUNT
SCORESHEET A 50 $ 75.00
SCORESHEET B 0 $ -
RULEBOOKS 0
JUNIOR RULEBOOKS 0 $
DECISIONS BOOKS 0 $
HANDICAP LABELS 0 $
HANDICAP CARDS 0 $ -
SUBTOTAL: $ 75.00
� SALES TAX: $ 5.25
SHIPPING: $ 8.50
TOTAL DUE: $ 88.75
PLEASE RETURN WITH YOUR REMITTANCE
MAKE CHECKS PAYABLE TO: IGA/PGA,INC. Brookshire Golf Club
P.O.BOX 516 TOTAL AMT.DUE: $ 88.75 v
FRANKLIN,IN 46131 0
Invoice: 730111
Subtotal+Shipping $83.50
Sales Tax Pd $5.25
IF YOU CHOOSE TO PAY BY CREDIT CARD PLEASE COMPLETE THE FOLLOWING:
CARD# EXP DATE Security Code
Print Name On Card
DUE UPON RECEIPT
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))
07/30/12 730111 Score Sheets $83.50
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
IGA-PGA
Judy Deiwert IN SUM OF $
P.O. Box 516
Franklin, IN 46131
$83.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 730111 I 42-302.00 I $83.50 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
Friday, August 03, 2012
6) dl�
Director, Brookshir olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund