223002 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: T358994 Page 1 of 1
ONE CIVIC SQUARE IGA/PGA, INC
1 � CHECK AMOUNT: $343.50
CARMEL, INDIANA 46032 PO BOX 516
FRANKLIN IN 46131 CHECK NUMBER: 223002
CHECK DATE: 8/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 1312467 343 . 50 ORGANIZATION & MEMBER
Please Detach And Return Top Portion With Your Payment
INVOICE
CLUB NAME BILL DATE DUE DATE
Brookshire Golf Club 0810512013 09/05/2013
REF# DESCRIPTION FEE
1312467 New Members 21 Standard members @$18.50 $388.50
1312468 Existing members 199 Standard members @$0.00 $0.00
1312469 Online registrations(6/2-8/1) Credit for 3 Standard registration(s)@($15.00) ($45.00)
If you have questions about your account,call 317-738-9696. $343.50
Message(s):
This invoice includes any previous balance plus any new members added since June 2nd.
Indiana Golf BIueGOM6
/NNOVAiNE SYSTEMS FOR QIXF
VOUCHER NO. WARRANT NO.
ALLOWED 20
IGA-PGA
Judy Deiwert IN SUM OF $
P.O. Box 516
Franklin, IN 46131
$343.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 1312467 I 43-553.00 I $343.50 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
Thursday, August 08, 2013
t
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
08/05/13 1312467 Dues I $343.50
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