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224663 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 359245 Page 1 of 1 ONE CIVIC SQUARE TAYLOR MADE GOLF COMPANY, INC CHECK AMOUNT: $136.33 CARMEL, INDIANA 46032 PO BOX 406043 ATLANTA GA 30384-6043 CHECK NUMBER: 224663 CHECK DATE: 9/2512013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356007 21204937 136 . 33 GOLF HARDGOODS rA vpylorMade f�.I ,; lnvo(c_e_-Num156r Ac ASHW H* cotint Number Lti 21204937 6114109 Taylor Made Golf Company, Inc. r invoice Date' Ddi?Date I., 5545 Fermi Court 09/11/13 11/10/13 Carlsbad,CA 92008-7324 Terms Invoice Amount 2%30, NET 60 $138.93 For inquiries about your invoice,please call:800-888-2582 View and access your account on-line at tmag.biz Please Send-Itemized-Remittance Rennittarice To:�,, PO BOX 406043 ATLANTA, GA 30384-6043 BILL TO: SHIP TO: 540602 3341 1 AB 0.384 E0007X 1008 0775386992 P1604984 0001:0001 r-­ BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB AM 12120 BROOKSHIRE PKWY ATTN:PAUL BLOCKOMS VAL, CARMEL IN 46033-3314 12120 BROOKSHIRE PARKWAY CARMEL, IN 46033 ORDER DATE ORDERi SHIP DOC4 PURCHASE6RDER SHIP VIA TRACKING# 09/10/13 KQ2417 DB4040 FEDEX GROUND 263280974059588 P ITEM NO. C EXTENDED PRICE AFTER DESCRIPTION CITY UNIT PRICE SHIPPED DISCOUNT PRICE DISCOUNT TAG: BILL N2290201 TM13CatalinaBgBlkWhtChr 1 $130.00 $130.00 $130.00 Our goal is to process each of your payments as quickly and efficiently as possible. Please take a moment and verify that the address you are currently sending your payments to matches the 'remit tO' address on your invoice. SUB TOTAL: 0 $130.00 $130,001 UPS $8.93 Total Inv.Amt: 1 $138.93 A monthly late payment charge of 1.5%is made on any balance unpaid after due date. This order is subject to the terms and conditions set forth in the TaylorMade-adidas Golf Company policies available online at tmag.biz. ;,_1.y1.1-Made ASHWO4�rH• Account Number i1ij 614109 Remit To: Inv,oice Number 21204937 Invoice D46 09/11/13 �o PO BOX 406043 ATLANTA,GA 30384-6043 11/10/13 Total Amount Due,,,fl $138.93 If Paid By:"10/11/13 $136.33 lf-Paidl-By: 11/1101111�,, -$1387931 0001:0001 Page 1 of 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Taylor Made IN SUM OF !$ P.O. Box 406043 Atlanta, GA 30384-6043 $136.33 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I 21204937 I 43-560.07 I $136.33 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, September 16, 2013 Director, Broow#ire 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)) 09/11/13 21204937 Bag $136.33 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 5-11-10-1.6 120 Clerk-Treasurer