HomeMy WebLinkAbout213480 10/09/2012 - CITY OF CARMEL, INDIANA VENDOR: 359590 Page 1 of 1
ONE CIVIC SQUARE H2 GOLF COMPANY
0 CHECK AMOUNT: $197.16
CARMEL, INDIANA 46032 3435 BRIAR CREEK LANE
u� CARMEL IN 46033 CHECK NUMBER: 213480
CHECK DATE: 1019/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 3141 197 . 16 GOLF SOFTGOODS
H H2 Golf Company, LLC Invoice
3435 Briar Creek Lane
e Carmel, IN 46033 Date Invoice#
G ® IL IF 800-466-2305
9/24/2012 3141
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
H2 Item Description Invoiced Unit Price Amount
11101-Peg 41 2 1/8'Deluxe 50 pk WhiteTees Peg#1 6 1.55 9.30
11102-Peg#2 2 3/4'Deluxe 50 pk WhiteTees Peg#2 6 1.55 9.30
11103-Peg#3 2 3/4'Deluxe 50 pk Natural Tees Peg#3 6 1.55 9.30
11104-Peg#4 2 3/4'Deluxe 50 pk Mixed..Peg#4 6 1.55 9.30
11106-Peg#6 2 3/4'Deluxe 100 pk White..Peg#6 6 2.55 15.30
11107-Peg 47 2 3/4'Deluxe 100 pk Natural..Peg#7 6 2.55 15.30
11109-Peg#9 3 1/4'Deluxe 50 pk white..Peg#9 6 2.05 12.30
11110-Peg#10 3 1/4'Deluxe 50 pk Natural..Peg#10 6 2.05 12.30
11111-Peg#11 3 1/4'Deluxe 50 pk Mixed..Peg#11 6 2.05 12.30
11112-Peg#12 3 1/4'Deluxe 100 pk White..Peg#12 6 3.05 18.30
11113-Peg#13 3 1/4'Deluxe 100 pk Natural..Peg#13 6 3.05 18.30
11114-Peg#14 3 1/4'Deluxe 100 pk Mixed..Peg#14 6 3.05 18.30
11115-Peg#15 4'Deluxe 50 pk White..Peg#15 6 2.05 12.30
11116-Peg#16 4'Deluxe 50 pk natural..Peg#16 6 2.05 12.30
Shipping Fee Shipping Fee 1 12.96 12.96
Date 9/2� Init.
Account# 96oDG $ -
Thank you-f�yotlycles $ Total ' $197.16
*All return goods will bellin�F ected by our wareho a staff prior to issuing a credit. Sales Tax (0.0%) $0.00
Our terms a1�I��DId I 1/2%late charge p($month will be added on all past due Payments/Credits $0.00
invoices.
Account # $ Balance Due $197.16
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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))
09/24/12 I 3141 I Soft Goods I $197.16
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
H2 Golf Company, LLC
IN SUM OF S
3435 Brair Creek Lane
Carmel, IN 46033
$197.16
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT _ Board Members
1207 I 3141 I 43-560.06 I $197.16 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, September 27, 2012
Z t4 (L i
Director, Broo s V e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund