222594 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 359245 Page 1 of 1
ONE CIVIC SQUARE TAYLOR MADE GOLF COMPANY,INC CHECK AMOUNT: $74.99
CARMEL, INDIANA 46032 PO BOX 406043
ATLANTA GA 30384{043 CHECK NUMBER: 222594
CHECK DATE: 7/3012013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356007 21049806 74 . 99 GOLF HARDGOODS
'o®a /® /itl�a&f3 � �...• ASHW H`
Invoice Number Account Number
�
/' ��$ �RT
`1 21049806 614109
Taylor Made Golf Company, Inc. Invoice Date Due Date
5545 Fermi Court 07/16/13 09/14/13
Carlsbad,CA 92008-7324 Terms Invoice Amount
2% 30, NET 60 $74.99
For inquiries about your invoice,please call:800-888-2582 Please Send Itemiied Remittance To:
View and access your account on-line at tmag.biz
PO BOX 406043
ATLANTA, GA 30384-6043
BILL TO: SHIP TO: 540602
4056 1 AB 0.384 E0006X 1006 D735861603 P1 5289410001:0001
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
g;'wu 12120 BROOKSHIRE PKWY ATTN: PAUL BLOCKOMS
66�eeuuu��::cc CARMEL IN 46033-3314 12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033
ORDER DATE ORDER# SHIP DOC#. PURCHASE ORDER# - SHIP VIA TRACKING#
06/17/13 JR3053 CE0628 GATLIN FEDEX GROUND 961879879700814
QTY EXTENDED PRICE AFTER
ITEM NO., DESCRIPTION SHIPPED UNIT PRICE PRICE DISCOUNT DISCOUNT
TAG:GATLIN
19214733
N1370907 RBldz Ir ST#4/Rh R 1 $66.13 $66.13 $66.13
Our goal is to process each of your payments as quickly and
efficiently as possible.
Please take a moment and verify that the address you are currently sending your payments to
matches the'remit to' address on your invoice.
SUB TOTAL: 0 $66.131 1 $66.13
UPS $8.86
Total Inv.Amt: 1 $74.99
A monthly late payment charge of 1.5%is made on any balance unpaid after due date.
This order is subject to the terms and conditions set forth in the TaylorMade-adidas Golf Company policies available online at tmag.biz.
AsHWO'R Account Number 614109
4�
Invoice Number . 21049806
Remit To: Invoice"D"afe '' " -07/16/13
PO BOX 406043
ATLANTA,GA 30384-6043 Due Date 09/14/13
Total Amount Due $74.99
If Paid By: 08115/13 $73.67
0001:0001 If Paid By: 09/14/13 $74.99 Page 1 of 1
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))
07/16/13 21049806 Club $74.99
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
Taylor Made
IN SUM OF $
P.O. Box 406043
Atlanta, GA 30384-6043
$74.99
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 21049806 I 43-560.07 I $74.99 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
Tuesday, July 23, 2013
Director, Broo hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund