217679 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: T358994 Page 1 of 1
ONE CIVIC SQUARE IGA/PGA, INC
CARMEL, INDIANA 46032 Po Box 516
CHECK AMOUNT: $250.00
FRANKLIN IN 46131 CHECK NUMBER: 217679
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 1311135 250 . 00 ORGANIZATION & MEMBER
INDIANA GOLF BILL DATE DUE DATE
02/18/2013 02/18/2013
\9/\ 'J� ✓ � w� BILLING INQUIRIES PAY THIS AMOUNT AMOUNT ENCLOSED
317-738-9696 $250.00
Promoting the Game,Honoring the Tradition.
❑ VISA ❑ 4:a ❑ AMEX
Make checks payable to: IGA-PGA, Inc. Card Number Exp,Date
Signature Security Code
Indiana Golf Office Brookshire Golf Club
PO Box 516 12120 Brookshire Pkwy
Franklin, IN 46131 Carmel, IN 46033-3314
Please Detach And Return Top Portion With Your Payment
STATEMENT
CLUB NAME BILL DATE DUE DATE
Brookshire Golf Club 02/18/2013 0211 B/2013
REF# DESCRIPTION FEE
1311135 Club dues Association fee $250.00
e
If you have questions about your account, call 317-738-9696. $250.00
Message(s):
Handicap Fast Facts:
*Dues payment due no later than March 31 st
*The first fees billing will be for 1/2 of the total number of members on your club roster from last year-mid March
*June 1st you will be billed for the number of active members minus the number you were billed for in March
*Revisions occur every 1 st and 15th of the month
It is your responsibility to inform the Golf Office of any changes in your club status. You are responsible for payment unless we are
otherwise advised.Thank you.
Indiana Golf 01UeG0B9�
INNOVAUn SnMMSFORGOLF
VOUCHER NO. WARRANT NO.
ALLOWED 20
IGA-PGA
Judy Deiwert IN SUM OF $
P.O. Box 516
Franklin, IN 46131
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1311135 I 43-553.00 I $250.00 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
Thursday, February 21, 2013
'4 , df"
Director, BrookshAk 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))
02/18/13 I 1311135 I Dues I $250.00
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