HomeMy WebLinkAbout214544 11/19/2012 o_ 4
CITY OF CARMEL, INDIANA VENDOR: 359457 Page 1 of 1
ONE CIVIC SQUARE AMERICAN DRY GOODS
CARMEL, INDIANA 46032 PO BOX 790051 CHECK AMOUNT: $246.74
'airs' ST LOUIS MO 63179-0051 CHECK NUMBER: 214544
CHECK DATE: 11/19/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 104476 246 . 74 GOLF SOFTGOODS
INVOICE INVOICE NO. PAGE
INVOICE AMENCAN MY ®® 5 OI 104476 1.
P.O. BOX 790051 INVOICE DATE
St. Louis, M®. 63179-0051 041• /08/12
TELEPHONE: - -
800-822-2708 REMIT TO: P.O. BOX 790051
FAX: 800-822-2709 ST. LOUIS, MO 63179-0051
ASI # 35493
`S C 11'Y OF CARMEL fS -CITY OF 5 ARMEL.
L DEA/BROOKSI-1IRE, G. C. H DBA/BR+.3OKSHIRE G. C.
,D ATTN: BRIAN sA!_LARD P= ATTN; BRIAN BAL.LARD
T T 12120 BROOKSHIRE PKWY
O CARMEL it'd 4160-2 3 O
.- 7...., CARtiEf.,_ IN. 4, 033 . ...:,,.', ... .... .........:...... . _ ......
ORDER ACCOUNT SALES- is YOUR PURCHASE F.O.B. TERMS _ORDER-DATE . _ - MAN _:L _ SHIP VIAT_ --;BOUaaoN
TNUMBER NUMBER" :r # h._ ORDER-NUMBER
f
97202 ? 11/05/_12 46755( 4055' iKV,±IT SUPS GROUND PREPAID F NET 30
QTY SHIP I ITEM NUMBER DESCRIPTION COLOR UNIT PRICE EXTENDED PRICE
�-r DZ..::_im 'EA k
1.2 ( T ADG61.1, ;WAF'I"L.E WEAVE KNIT BLACK 6. 50 78. 00
12 1 TADC6:i2 "i'NYT BEANIE :GREY HEAT 6. 50 78. 00
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1'2 I ADO-600 KNIT WATCH CAI"' WHITE 6. 50 78. 00
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Date a I' Init.
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j < Account # o o (, $
Account # $ ,
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WEIGHT 1 O LBS. SALE AMOUNT 234. 00
s CARTONS FREIGHT 12. fr 4
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' e 2 6. 7
INVOICE NO.
ALL CLAIMS MUST BE MADE WITHIN 10 DAYS OF RECEIPT OF GOODS.NO RETURNS "THE GOODS COVERED IN THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH
WITHOUT WRITTEN CONSENT.ALL CORRESPONDENCE TO BE MADE DIRECTLY TO THE FAIR LABOR STANDARDS ACT OF 1938." CUSTOMER COPY
AMERICAN DRY GOODS,P.O.BOX 539/#1 PARAMOUNT DRIVE,BOURBON,MO 65441
VOUCHER NO. WARRANT NO.
ALLOWED 20
American Dry Goods
IN SUM OF $
P.O. Box 790051
St. Louis, MO 63'179-0051
$246.74
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 104476 I 43-560.06 I $246.74 I 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, November 16, 2012
2-�-2-d -
Director, Brooksh Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11/08/12 I 104476 I Hats I $246.74
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