225834 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 359590 Page 1 of 1
ONE CIVIC SQUARE H2 GOLF COMPANY
CARMEL, INDIANA 46032 32788 HUPA DRIVE CHECK AMOUNT: $47.15
*R r TEMECULA CA 92592 CHECK NUMBER: 225834
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CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4356006 9478 47 . 15 GOLF SOFTGOODS
H2 Golf Company, LLC Invoice
Temecula, CA 92592
2 32788 Hupa Drive Date Invoice#
G 0 L F www.h2golf.com
accounting @h2golf.com 10/22/2013 9478
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
Came],IN 46033 Carmel,IN 46033
Rep P.O. No. Terms Due Date -- —" -
MH PO#Brian Net 30 11/21/2013
H2 Item Description S.O. No. Invoic... Unit Price Ordered Prev. Inv... Backorder... Amount
11101-Pe... 2 1/8'Deluxe 50 pk WhiteTees Peg 8335 6 1.55 6 0 0 9.30
#1
11102-Pe... 2 3/4'Deluxe 50 pk WhiteTees Peg 8335 6 1.55 6 0 0 9.30
#2
11103-Pe... 2 3/4'Deluxe 50 pk Natural Tees 8335 6 1.55 6 0 0 9.30
Peg#3
11104-Pe... 2 3/4'Deluxe 50 pk Mixed..Peg#4 8335 6 1.55 6 0 0 9.30
Shipping... Shipping Fee 8335 1 9.95 1 0 9.95
I
Thank you for your business! Total $47.15
*All return goods will be inspected by our warehouse staff prior to issuing a credit. Sales Tax (O.O%) $0.00
Our terms 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 - —$47.15 - --
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))
10/22/13 9478 Soft Goods $47.15
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
H2 Golf Company, LLC
IN SUM OF $
32788 Hupa Dr.
Temecula, CA 92592
$47.15
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
9478 I 43-5C-0 05 I S47.15 I 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
Thursday, October 31, 2013
Director, Brookshl Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund