223411 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 361839 Page 1 of 1
ONE CIVIC SQUARE BRIDGESTONE GOLF INC CHECK AMOUNT: $537.67
CARMEL, INDIANA 46032 PO Box 2906
CAROL STREAM IL 60132-2908 CHECK NUMBER: 223411
CHECK DATE: 8/2712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356007 1002136786 537 . 67 GOLF HARDGOODS
BRIDGESTONE GOLF, INC RIUDGESZORE
15320 Industrial Park Blvd., NE Covington, GA 30014
Invoice
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Payment:information
Invoice, 021 '67868122013 1 .
CITY OF CARMEL Order no./date 2;62196;0/ 10/27/2012
BROOKSHIRE GC Cust. P.O.` number 1.02Sl2/2013>ON L2FW
12120 BROOKSHIRE PKWY Customer ' 33326
CARMEL IN 46033 Invoice amount:::.. 5 7:p 8 4
USA
* �r * *;i
Ship-to address TO: INSURE .PROPER CREDIT
BROOKSHIRE GC MAIL .PAYMENT TO
12120 BROOKSHIRE PKWY
CARMEL IN 46033 BRIDGESTONE GOLF INC:
USA P.O. BOX 2908
CAROL i STREAM IL 60132-2908
Conditions Amount Weight volume
Payment Up to 09/1 1/20T3 you receive 6.000 % discount 537.67 Gross 36 LB
Rec'd by Up to 10/11/2013 you receive 4.000 % discount 548.73 Net weight 34.560 LB
Up to 11/10/2013 without deduction 570.84 Volume 1.176 FT3
Delivery y
UG4
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Shipping.:Condition..: ales employee
UPS GROUND 946
Item Material Description Quantity Price Amount
000010 B3DX6D 2012 B330RX DZ 6.000 29.14 174.84
000020 ECWX6D 2013 BSG e5 Dozen 6.000 21.00 126.00
000030 ESWX6D 2013 BSG e6 Dozen 12.000 21.00 252.00
Freight —
Invoice amount 570.84
UGEV O E 15320 Industrial Park Blvd., NE Covington, GA 30014. Telephone: 1-800-358-6319.
G 0 1 F BRIDGESTONE GOLF, INC. PRECEPT
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bridgestone Golf Inc.
IN SUM OF $
P.O. Box 2908
Carol Stream, IL 60132-2908
$537.67
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1002136786 I 43-560.07 I $537.67 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 19, 2013
Director, Bro shire 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))
08/12/13 1002136786 Balls $537.67
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