HomeMy WebLinkAbout215438 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 364516 Page 1 of 1
ONE CIVIC SQUARE UNITED STATES GOLF ASSOC.
CARMEL, INDIANA 46032 PO Box 5008 CHECK AMOUNT: $110.00
HAGERSTOWN MD 21741-9924 CHECK NUMBER: 215438
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 2013 DUES 110 . 00 ORGANIZATION & MEMBER
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USGA CIU M H ER M IRM U �® ...
Phone: 800-246-7967 • Fax: 908-234-9488 • Email:clubmembership @usga.org • FED ID #13-1427105
Reference Code:CCh121101230
ANNUAL DUES FOR:
Member Ill#43732460 $110
Brookshire Golf Club
12120 Brookshire Pkwy lwval)le in
Carmel,IN 46033-3314 U.S. funds
YOUR BONUS GIFT IF YOU RENEW NOW:
2013 USGA CHAMPIONSHIP CALENDAR (limited quantities available.Offer ends March 1st 201'3) FREE
ADDITIONAL,2013 Club Membership Benefits Include:
• Must-have references including The 2012-2015 Rules of Golf, the lastest edition ✓
of the Decisions on the Rules of Golf
• FREE copies of The 2012-2015 Rules of Golf for your members ✓
__(order in increments of 50 books and only pay for shipping)l
• USGA Member signage including a Certificate of Membership ✓
and Member window decal that visibly demonstrate your commitment
to the game
• Player's Package including Lightning and Etiquette Posters and ✓
Etiquette handouts
• 2013 USGA Competition Schedule ✓
• Direct access to the expert resources of the USGA ✓
Our records indicate your last dues payment was 06128/12
KNEW TODAY: Mail the form above by January 31, 2013 or enter
Member ID#43732460 when you visit: usga.org/MemberClubRenew
tFor more information on taking advantage of this benefit with your Club Membership,
please contact the USGA Publication department at 800 336-4446.
Send payment to USGA,Club Membership, P.O. Box 5008, Hagerstown,MD 21741-50 08 For the good of the game°
An affiliation you can be proud of
The USGA is a nonprofit association of clubs,
courses and qualified training facilities serving
all golfers as the national governing body of golf.
To learn more, visit usga.org
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For the good of the game® o
Membership benefits are subject to change.
United States Open,U.S.Open,USGA and United States Golf Association
are all registered trademarks of the United States Golf Association.
All rights reserved. O 2011 United States Golf Association
CCF12
VOUCHER NO. WARRANT NO.
ALLOWED 20
USGA
Club Membership IN SUM OF $
P.O. Box 5008
Hagerstown, MD 21741-9924
$110.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 2013 Dues I 43-553.00 I $110.00 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, December 10, 2012
Director, Brookshi 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))
12/10/12 I 2013 Dues I Dues I $110.00
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