225389 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 359590 Page 1 of 1
ONE CIVIC SQUARE H2 GOLF COMPANY
CARMEL, INDIANA 46032 32788 HUPA DRIVE CHECK AMOUNT: $93.05
TEMECUTA CA 92592 CHECK NUMBER: 225389
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 8372 93 . 05 GOLF SOFTGOODS
H2 Golf Company, LLC
Invoice
Temecula, CA 92592
32788 Hupa Drive Date Invoice#
www.h2golf.com
accountingnh2golf.com 8/16/2013 $372
800-466-2305 x2
Bill To Ship To
Brookshire Golf Club Brookshire Golf Club
Attn:Accounts Payable Attn:Golf Shop
12120 Brookshire Parkway 12120 Brookshire Parkway
Cannel,IN 46033 Cannel,fN 46033
Rep P.O. No. Terms Due Date
Mil PO#H2Golf Net 30 9/15/2013
H2 Item Description S.O. No. Invoic... Unit Price Ordered Prev. Inv... Backorder... Amount
I 1 101-Pe... 2 1/8'Deluxe 50 pk WhiteTees Peg 7165 6 1.55 6 0 0 9.30
#1
11102-Pe... 2 3/4'Deluxe 50 pk WhiteTees Peg 7165 6 1.55 6 0 0 9.30
#2
11103-Pe... 2 3/4'Deluxe 50 pk Natural Tees 7165 6 1.55 6 0 0 9.30
Peg#3
11104-Pe... 2 3/4'Deluxe 50 pk Mixed..Peg#4 7165 6 1.55 6 0 0 9.30
11107-Pe... 2 3/4'Deluxe 100 pk Natural..Peg 7165 6 2.55 6 0 0 15.30
#7
11110-Pe... 3 1/4'Deluxe 50 pk Natural..Peg 7165 6 2.05 6 0 0 12.30
#10
11 114-Pe... 3 1/4'Deluxe 100 pk Mixed..Peg 7165 6 3.05 6 0 0 18.30
#14
Shipping... Shipping Fee 7165 1 9.95 1 0 9.95
Pay onlin at: littps:Hipn.iiltuit.com/9b jf2 '6
Thank you for your business! Total $93.05
*All return goods will be inspected by our warehouse staff prior to issuing a credit. Sales Tax (0.0%) $0.00
Our teens are net 30 days.A 1 1/2%late charge per month will be added on all past due
invoices. Payments/Credits $0.00
Balance Due $93.05
VOUCHER NO. WARRANT NO.
ALLOWED 20
H2 Golf Company, LLC
IN SUM OF $
32788 Hupa Dr.
Temecula, CA 92592
$93.05
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 8372 I 43-560.06 I $93.05 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
Tuesday, October 15, 2013
/4,6 29"--
Director, Brooksh e 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))
08/16/13 I 8372 I Soft Goods I $93.05
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