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Home My WebLink About212228 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 359590 Page 1 of 1 QJ� ONE CIVIC SQUARE H2 GOLF COMPANY CARMEL, INDIANA 46032 3435 BRIAR CREEK LANE CHECK AMOUNT: $24.30 CARMEL IN 46033 CHECK NUMBER: 212228 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356006 2977 24 . 30 GOLF SOFTGOODS H2 Golf Company, LLC Invoice 3435 Briar Creek Lane Carmel, IN 46033 Date Invoice# G ® LF 800-466-2305 8/14/2012 2977 Bill To Ship To Brookshire Golf Club Brookshire Golf Club 12120 Brookshire Parkway 12120 Brookshire Parkway Carmel, IN 46033 Carmel, IN 46033 Rep P.O. No. Terms MH Net 30 CITY OF CARMEL, INDIANA VENDOR: 359590 Page 1 of 1 ` ONE CIVIC SQUARE H2 GOLF COMPANY CHECK AMOUNT: $24.30 CARMEL, INDIANA 46032 3435 BRIAR CREEK LANE CARMEL IN 46033 CHECK NUMBER: 212228 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356006 2977 24 . 30 GOLF SOFTGOODS Thank you for your business! TOtal — -$24:30– - *All return goods will be inspected by our warehouse staff prior to issuing a credit. Sales Tax (0.0%) $0.00 Our terms are net 30 days.A 1 1/2%late charge_per-month will be added on all past due invoices. - Payments/Credits $0.00 Balance Due $24.30 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)) 08/14/12 2977 Soft Goods $24.30 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 H2 Golf Company, LLC IN SUM OF $ 3435 Brair Creek Lane Carmel, IN 46033 $24.30 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I 2977 I 43-560.06 I $24.30 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 Thursday, August 16, 2012 Director, Brookshire If Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund