221195 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 356683 Page 1 of 1
ONE CIVIC SQUARE JOHN PIELEMEIER
CARMEL, INDIANA 46032 JOHN PIELEMEIER PRO SHOP CHECK AMOUNT: $1,120.00
12401 LYNNWOOD BLVD CHECK NUMBER: 221195
QOM c CARMEL IN 46033
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 9423 1, 120 . 00 ADULT CONTRACTORS
i
CLEF
C INVOICE
COLr CLUB
JOHN PIELEMEIER PRO SHOP
INVOICE#i 9423
DATE: MAY 30, 2013
12401 Lynnwood Blvd, Carmel, IN 46033
Phone 317-573-9900 Fax 317-573-9338
Johnnypga59@aol.com
TO: CARMEL PAKS AND RECREATION 1
JUN 0 8 ZU13
4
f.F� Y:
SALESPERSON JOB SHIPPING SHIPPING TERMS DELIVERY DATE PAYMENT DUE DATE
METHOD TERMS
JP Net 10 Days
QTY ITEM# DESCRIPTION UNIT PRICE DISCOUNT LINE TOTAL
8 Tuesday Evening Clinic #137007-01 80.00 640.00
6 Friday AM Clinic #137007-02 80.00 480.00
Purchase I ��
Description
l P O Fm:j
G.L.# (CG(a.'50. 4 40960
Budget U
Line Des cx
Purchaser Date S 2 3
Approval Date (^
Thank you for your Business! TOTAL DISCOUNT
SUBTOTAL
SALES TAX
SHIPPING
TOTAL 1120.00
I
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
356683 John Pielemeier Pro Shop Terms
12401 Lynnwood Blvd
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
5/30/13 9423 Golf clinics 29885 $ 1,120.00
I
Total $ 1,120.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
356683 John Pielemeier Pro Shop Allowed 20
12401 Lynnwood Blvd
Carmel, IN 46033
In Sum of$
$ 1,120.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 9423 4340800 $ 1,120.00 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
13-Jun 2013
Signature
$ 1,120.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund