222972 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 359590 Page 1 of 1
ONE CIVIC SQUARE H2 GOLF COMPANY
CARMEL, INDIANA 46032 32788 HUPA DRIVE CHECK AMOUNT: $219.45
TEMECULA CA 92592
CHECK NUMBER: 222972
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 8011 219 . 45 GOLF SOFTGOODS
1-,gj1,f''o�mp , L L C Invoice
32788 1-jPA kVe
o� Temecula CP 92 92
� Date Invoice#
G O L iF F 800-466-2305
7/31/2013 8011
Bill To Ship To
Brookshire Golf Club Brookshire Golf Club
Attn:Accounts Payable Attn: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 8/30/2013
H2 Item Description S.O. No. Invoic... Unit Price Ordered Prev. Inv... Backorder... Amount
11101-Pe... 2 1/8'Deluxe 50 pk WhiteTees Peg 6808 6 1.55 6 0 0 9.30
#1
11102-Pe... 2 3/4'Deluxe 50 pk WhiteTees Peg 6808 6 1.55 6 0 0 9.30
#2
11103-Pe... 2 3/4'Deluxe 50 pk Natural Tees 6808 6 1.55 6 0 0 9.30
Peg#3
11105-Pe... 2 3/4'Deluxe 50 pk Pink..Peg#5 6808 6 1.55 6 0 0 9.30
11106-Pe... 2 3/4'Deluxe 100 pk White..Peg#6 6808 6 2.55 6 0 0 15.30
11107-Pe... 2 3/4'Deluxe 100 pk Natural..Peg 6808 6 2.55 6 0 0 15.30
#7
11108-Pe... 2 3/4'Deluxe 100 pk Mixed..Peg#8 6808 6 2.55 6 0 0 15.30
11109-Pe... 3 1/4'Deluxe 50 pk white..Peg#9 6808 6 2.05 6 0 0 12.30
11110-Pe... 3 1/4'Deluxe 50 pk Natural..Peg 6808 6 2.05 6 0 0 12.30
#10
11111-Pe... 3 1/4'Deluxe 50 pk Mixed..Peg#11 6808 6 2.05 6 0 0 12.30
11112-Pe... 3 1/4'Deluxe100 pk White..Peg#12 6808 6 3.05 6 0 0 18.30
11113-Pe... 3 1/4'Deluxe100 pk Natural..Peg 6808 6 3.05 6 0 0 18.30
#13
11114-Pe... 3 1/4'Deluxel00 pk Mixed..Peg 6808 6 3.05 6 0 0 18.30
#14
Thank you for your business! Total
*All return goods will be inspected by our warehouse staff prior to issuing a credit. Sales Tax (0.0%)
Our terms are net 30 days.A 1 1/2%late charge per month will be added on all past due
invoices. Payments/Credits
Balance Due
Page 1
H2 Golf Company, LLC Invoice
32788 Hupa Drive
Temecula, CA 92592 Date Invoice#
G ® L iF 800-466-2305
7/31/2013 8011
Bill To Ship To
Brookshire Golf Club Brookshire Golf Club
Attn:Accounts Payable Attn: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 8/30/2013
H2 Item Description S.O. No. Invoic... Unit Price Ordered Prev. Inv... Backorder... Amount
11115-Pe... 4'Deluxe 50 pk White..Peg#15 6808 6 2.05 6 0 0 12.30
11116-Pe... 4'Deluxe 50 pk natural..Peg#16 6808 6 2.05 6 0 0 12.30
Shipping... Shipping Fee 6808 1 19.95 1 0 19.95
Thank you for your business! Total $219.45
*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 payments/Credits $0.00
invoices.
Balance Due $219.45
Page 2
VOUCHER NO. WARRANT NO.
ALLOWED 20
H2 Golf Company, LLC
IN SUM OF $
32788 Hupa Dr.
Temecula, CA 92592
$219.45
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#i Dept. INVOICE NO. ACCT#iTITLE AMOUNT Board Members
1207 I 8011 I 43-560.06 I $219.45 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, August 07, 2013
Director, Brooksh 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))
07/31/13 8011 Soft Goods I $219.45
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