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224089 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 356683 Page 1 of 1 ONE CIVIC SQUARE JOHN PIELEMEIER CHECK AMOUNT: $320.00 CARMEL, INDIANA 46032 JOHN PIELEMEIER PRO SHOP 12401 LYNNWOOD BLVD CHECK NUMBER: 224089 CARMEL IN 46033 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 9424 320 . 00 ADULT CONTRACTORS i PLUM "INVOICE ! CHEEK coLr dU0 JOHN PiELEMEIER PRO SHOP INVOICE#9424 DATE: AUGUST 22, 2013 12401 Lynnwood Blvd, Carmel, IN 46033 Phone 317-573-9900 Fax 317-573-9338 Johnnypga59@aol.com TO: CARMEL PAKS AND RECREATION =BY: SALESPERSON SOB SHIPPING SHIPPING TERMS DELIVERY DATE PAYMENT DUE DATE METHOD TERMS JP Net 10 Days QTY . ITEM# DESCRIPTION UNIT PRICE DISCOUNT LINE TOTAL 4 August 19 - 22 Women's Golf Clinic 137007-04 80.00 320.00 Purchase Description �7 P.O.# =� 7-Q` ,. P 0(g) GI L# i©'IC,. Budget f \ Cb X UneUesct �C� - Purchaser'n Dated t(1/13 Approval Date 27 13 Thank you for your Business! TOTAL DISCOUNT SUBTOTAL SALES TAX SHIPPING {{ TOTAL 320.00 . E ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 356683 John Pielemeier Pro Shop Terms 12401 Lynnwood Blvd Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 8/22/13 9424 Golf clinics 36120 $ 320.00 Total $ 320.00 I 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. 356683 John Pielemeier Pro Shop ` Allowed 20 12401 Lynnwood Blvd Carmel, IN 46033 In Sum of$ $ 320.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1096-50 9424 4340800 $ 320.00 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 5-Sep 2013 1 Signature $ 320.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund