218788 04/09/2013 *� CITY OF CARMEL, INDIANA VENDOR: 362822 Page 1 of 1
ONE CIVIC SQUARE CMC GOLF INC CHECK AMOUNT: $149.04
CARMEL, INDIANA 46032 15695 N 83RD WAY
SCOTTSDALE AZ 85260 CHECK NUMBER: 218788
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 0139388-IN 149 . 04 GOLF SOFTGOODS
Invoice Page: I
INVOICE NUMBER: 0139388-IN
CMC Golf, Inc.
15695 North 83rd Way INVOICE DATE: 3/21/2013
r�
GOLF=:
Scottsdale,AZ 85260 a ORDER NUMBER: 0123598
(480)483-2163 ORDER DATE: 12/10/2012
SALESPERSON: RET 2-1 1-13Jeff S;
CUSTOMER NO: 01-C 18655
SOLD TO: SHIP TO:
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Golf Club . 12120 Brookshire Golf Club
Carmel, IN 46033 Carmel, IN 46033
- CONFIRM TO: ---Brian-Ballard - -- - -"- - - --- _.- - --- -
CUSTOMER P.O. SHIP VIA F.O.B. TERMS
BGC32513 _ ED EX GRND az Net 30
ITEM NO. UNIT ORDERED SHIPPED BACK ORD' PRICE AMOUNT
IINSTRUCTIONS EACH 0.00 0.00 0.00 0.000 0.00
ASSEMBLY INSTRUCTIONS:
IIBM25416ANWH EACH 12.00 12.00 0.00 1.000 12.00
Brookshire GC Ball Marker
IINSTRUCTIONS EACH 0.00 0.00 0.00 0.000 0.00
ASSEMBLY INSTRUCTIONS:
IIBM25416ANWH EACH 36.00 36.00 0.00 0.000 0.00
Brookshire GC Ball Marker
1RT02989SNBK EACH 12.00 12.00 0.00 3.850 46.20
Z Tool w/Black Leather Thumb
IRT16173SN. EACH 12.00 12.00 0.00 3.250 39.00
Z T-j!-E(i /0 clip)
IRT15683SN EACH 12.00 12.00 0.00 3.250 39.00
Z Tool T w/Thumb Rest-no clip
0�
Net Invoice: 136.20
Less Discount: 0.00
Freight: 12.84
All claims must be made IN WRITING within ten(10)business days of receipt of
Sales Tax: 0.00
goods Invoice Total: 149.04
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))
03/21/13 0139388-IN Soft Goods $149.04
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
CMC Golf, Inc.
IN SUM OF $
15695 North 83rd Way
Scottsdale, AZ 85260
$149.04
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 0139388-IN I 43-560.06 I $149.04 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
Wednesday, April 03, 2013
ALI
Director, Brooksh e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund