222422 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 359590 Page 1 of 1
ONE CIVIC SQUARE H2 GOLF COMPANY CHECK AMOUNT: $96.35
.? CARMEL, INDIANA 46032
CHECK NUMBER: 222422
et �(0 �1/A ���p� CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER K A_/MOUNT DESCRIPTION
1207 4356006 7593 96 . 35 GOLF SOFTGOODS
I
H2 Golf Company, LLC Invoice
32788 Hupa Drive
Temecula, CA 92592
Date Invoice#
GOLF
800-466-2305
7/9/2013 7593
Bill To Ship To
Brookshire Golf Club Brookshire Golf Club
Attn:Accounts Payable Attu:Golf Shop
12120 Brookshire Parkway 12120 Brookshire Parkway
Carmel,IN 46033 Carmel,IN 46033
Rep P.O. No. Terms Due Date
MH Brian Net 30 8/8/2013
H2 Item Description S.O. No. Invoic... Unit Price Ordered Prev. Inv... Backorder... Amount
11102-Pe... 2 3/4'Deluxe 50 pk WhiteTees Peg 6385 12 1.55 12 0 0 18.60
#2
11103-Pe... 2 3/4'Deluxe 50 pk Natural Tees 6385 12 1.55 12 0 0 18.60
Peg#3
11104-Pe... 2 3/4'Deluxe 50 pk Mixed..Peg#4 6385 12 1.55 12 0 0 18.60
11106-Pe... 2 3/4'Deluxe 100 pk White..Peg#6 6385 12 2.55 12 0 0 30.60
Shipping... Shipping Fee 6385 1 9.95 1 0 9.95
Thank you for your business! Total $96.35
*All return goods will be inspected by our warehouse staff prior to issuing a credit. Sales Tax (0.0%) $0.00
Our terms are net 30 days.A 1 1/2%late charge per month will be added on all past due
invoices. Payments/Credits $0.00
Balance-Due . $96.35
i
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))
07/09/13 7593 Soft Goods $96.35
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
H2 Golf Company, LLC
IN SUM OF $
3435 Brair Creek Lane
Carmel, IN 46033
$96.35
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 ( 7593 I 43-560.06 I $96.35 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
Monday, July 15, 2013
-7
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund