215603 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 365413 Page 1 of 1
ONE CIVIC SQUARE COBRA PUMA GOLF INC
CARMEL, INDIANA 46032 PO Box 5834
CHECK AMOUNT: $69.09
'4iari i� CAROL STREAM IL 60197-5834 CHECK NUMBER: 215603
CHECK DATE: 1 211 81201 2
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 G267347 69 . 09 GOLF SOFTGOODS
-
,I BILL:TO NUMBER' INVOICE NUMBERJ.'INVOICE DATE T',!_�7'i-STORE'NUMBER, ILIST NUMBER
020548 G267347 2012-11-30 036817 G267347 UPS GROUND
SHIP,DATE
C224322 CHAPMAN JEFF SALDUTTI NET60 WS 2012-11-30
DE CRIPTI01 !M'
18648701 WBKPRD PUMA AMP SPORT D8.5 1 60.00 60.00 60.00
,N OoD
-NE GROSS-AMOUNT77
�MISC, SHIP TO: BROOKSHIRE GOLF CLUB
.00 ATTN BRIAN BALLARD
BOL.#: 12120 BROOKSHIRE PKWY
DEPT.#: CARMEL,IN 46033-3314
TOTAL UNITS: I
CTN TOTAL: I RETURN AUTHORIZATION REQUIRED.
TRACKING/PRO BILL#: 1ZEW820315150580 DISCOUNTS—All Discounts are subject to on time payment.
I..,,.TO VIEW ONLINE GOJO: I hftpllcobrapu�.bifltrustcom 1'.Ug-E THIS ENROLLMENT CODE: I MFK TL Page I of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cobra Puma Golf, Inc.
IN SUM OF $
10 Lyberty Way
Westford, MA 01886
$69.09
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I G267347 I 43-560.04 I $69.09 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
Tuesday, December 11, 2012
Director, Brooks&e 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))
11/30/12 I G267347 I Shoes I $69.09
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