212201 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 361858 Page 1 of 1
0 ONE CIVIC SQUARE FOREI RESERVATIONS INC
?a CARMEL, INDIANA 46032 5019 GRAND AVENUE CHECK AMOUNT: $1,000.00
WESTERN SPRINGS IL 60558 CHECK NUMBER: 212201
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4341903 41692 1, 000 . 00 SOFTWARE SUPPORT FEES
Fore! Reservations, Inc.
5019 Grand Avenue
Western Springs, IL 60558 Invoice
Date Invoice#
9/10/2012 41692
Bill To
Brookshire Golf Club
12120 Brookshire Parkway
Carmel,IN 46033
P.O. No. Terms Representative
Due on receipt CMS
Quantity Description Unit Price Amount
1 18 Hole Fore! Reservations Software Lease- 500.00 500.00
Renewal
1 Fore! Internet Software and Tools-Renewal 500.00 500.00
Total $1,000.00
Make all checks payable to: Fore! Reservations, Inc.
If you have any questions concerning this invoice, please call our Accounts Receivable
Department at 630.789.9705 ext. 111
Thank you for your Business
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))
09/10/12 41692 Support $1,000.00
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 NO. WARRANT NO.
ALLOWED 20
Fore Reservations Inc.
Accounts Receivable IN SUM OF $
5019 Grand Avenue
Western Springs, IL 60558
$1,000.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
1207 I 41692 I 43-419.03 I $1,000.00 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
Monday, August 27, 2012
/Z—
Director, Brookshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund