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223220 08/13/2013 - CITY OF CARMEL, INDIANA VENDOR: 359250 Page 1 of 1 ONE CIVIC SQUARE SUN MOUNTAIN CARMEL, INDIANA 46032 PO BOX 7727 CHECK AMOUNT: $133.50 MISSOULAMT 59807 CHECK NUMBER: 223220 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356007 100791 133 . 50 GOLF HARDGOODS IF PAYING BY CREDIT CARD,PLEASE FILL OUT BELOW Payments made by credit cards are subject to a 1.5% INVOICE ❑®❑� purchase processing fee. SL.JfV MOOJfVTA�N� CARD NUMBER AMOUNT P.0 Box 7727 Missoula MT 59807 1-800-227-9224 - www.sunmountain.com SIGNATURE EXP.DATE RETURN SERVICE REQUESTED STATEMENT DATE PAY THIS AMOUNT ACCOUNT# FAX (406)728-8998 7/30/2013 133.50 4603305 Invoice Number: 100791 AMOUNT PAID $ =o LI��LII��II�����II���II���II���IL���II�LJ�JJIL����JII -CO Sun Mountain Sports �o Brookshire Golf Club PO Box 7727 _° 12120 Brookshire Pkwy Missoula, MT 59807-7727 Carmel, IN 46033-3314 39 I.lilil�l��li�lill��iliiilluilln�l��l�llinlnl�llnilliliil _BN897360244RT0001 -- - - Acct#: Sun Mountain Sports PO Box 7727 Missoula MT 59807 1-800-227-9224 www.sunmountain.com Inv# 4603305 You must notify us of any problem with this invoice within 10 days or else acceptance is implied. 100791 a DATEh� ;SHIP UI%a �4 O TERIUISx 07/30/13 FDX NET 30 ORDER DATE/CONFIRMED DATEA�� SALES PERSON SALES�ORDER# SHOCKEY 07/18/13 168 085647 QUANTITY ITE(JI � EXTENDED QTLY REQ_,,_sHIPPED3 �' B O `. ..,�. NumeE`R�, _, �� DESCRIPTION _� UNIT PRICE �. 1 1 0 6412560 SYNC SHADOW-BLACK-RED 126.00 126.00 1 1 0 FRT FREIGHT CHARGES 7.50 7.50 THANK YOU FOR CHOOSING SUN MOUNT IN 07/17/13 ZACK- BRAD i BROOKSHIRE GOLF CLUB ATTN: PAUL BLOCKOMS Duty/Discount as Applicable: 12120 BROOKSHIRE PARKWAY _ _ - _ Tax: 0.00 CARMEL IN 46033- Amount Due: 133.50 Green A service charge of.829%per month, 9.95%effective annual rate added on past due accounts. B VOUCHER NO. WARRANT NO. ALLOWED 20 Sun Mountain Sports IN SUM OF $ P.O. Box 7727 Missoula, MT 59807 $133.50 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 100791 I 43-560.07 I $133.50 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 Monday, August 05, 2013 Director, Broo hire 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)) 07/30/13 I 100791 I Bag I $133.50 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