218808 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 365413 Page 1 of 1
ONE CIVIC SQUARE COBRA PUMA GOLF INC
CHECK AMOUNT: $64.50
i•.�:�. CARMEL, INDIANA 46032 Po eox 5834
CAROL STREAM IL 60197-5834 CHECK NUMBER: 218808
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 G325096 64 . 50 GOLF SOFTGOODS
BILL TO NUMBER INVOICE NUMBER INVOICE DATE STORE NUMBER PICK LIST NUMBER SHIP VIA
020548 G325096 2013-03-14 036817 G325096 COBRA FEDEX GROUND
GOLF ORDER NO. PURCHASE ORDER NUMBER SALES,REP TERMS SALES TYPE SHIP DATE
C225411 BGC031013 JEFF SALDUTTI NET 90 WS 2013-03-14
STYLE NUMBER COLOR DESCRIPTION SIZE QTY UNIT PRICE EXTENDED "WHOLESALE
AMOUNT -AMOUNT
18622404 WTBK FAAS GRIP D8.5 1 60.00 60.00 60.00
OU
You can now View and Pay your Cobra Puma Invoices Online!
To Enroll go to http://cobrapuma.bilitrust.com
Enrollment Codes are located at the bottom of all Invoices
SUBTOTAL TAX FREIGHT DISCOUNT DISCOUNT EXPIRES ON NET AMOUNT GROSS AMOUNT
60.00 .00 4.50 00 2013-03-14 64.50 64.50
MISC CHARGES SHIP TO: BROOKSHIRE GOLF CLUB
.00 ATTN BRIAN BALLARD
BOL.#: 12120 BROOKSHIRE PKWY
DEPT.#: CARMEL,IN 46033-3314
TOTAL UNITS: 1
CTN TOTAL: 1 RETURN AUTHORIZATION REQUIRED.
TRACKING/PRO BILL#: 190574470122347 DISCOUNTS—All Discounts are subject to on time payment.
TO VIEW ONLINE GO TO: http://cobrapuma.bilitmst.com I USE THIS ENROLLMENT CODE: I MFK TL K HSS Page 1 of 1
0001:0001
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))
03/14/13 I G325096 I Soft Goods I $64.50
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
Cobra Puma Golf, Inc.
IN SUM OF $
P.O. Box 5834
Carol Stream, IL 60197-5834
$64.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I G325096 I 43-560.06 I $64.50 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, March 27, 2013
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund