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226782 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1 1 � ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF COCK AMOUNT: $31.43 ® � CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 226782 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4356006 31 .43 GOLF SOFTGOODS GGLFSMITH 8310 Castleton Corner Or Indianapolis, IN 46250 317.577.0846 Receipt # 0821133304308 11/26/2013 10:47:03 AM Store 082 , Register 01 , Cashier 30907 List Ext Gty Item Number Price Amount 7 300248321 $4.49 $31.43 TOUR UELUET HENS STANDARD GRIPS BLK Sub-Total $31.43 Tax $2.20 Sale-Total $33.63 MasterCard *9399- (Scan) $33.63 Change Due $0.00 www . !golfsmith . com I VIII,IIII.'llll lill ,II VIII I III II II I I II I III i II II lil III Please keep this receipt. New merchandise should be returned according to Golfsnith's Return Policy with a receipt on or before 12/26/2013. See the Return Policy an the back of the receipt, in a store or online for complete details. Want 10€ off your next order? Complete our satisfaction survey. www.golfsmith.com/survey Customer Copy l Return Policy Golfsmith will gladly exchange or refund merchandise purchased through our retail stores,catalog or website within 30 days of product receipt when accompanied by the original sales receipt and in new,unused condition. Refunds will be issued as follows: Payment type and expected refund description: Cash-Cash,if less than$200.Refunds for cash purchases over$200 will be issued as a check from our Headquarters or store credit. Credit Card-Store credit or credit issued to same credit card. Check-Cash if less than$200 and the original purchase was more than 14 days from date of return;otherwise,a check is issued from our Headquarters in Austin,Texas. Gift Card-Gift Cards are not redeemable for cash(except where required by law)and will not be placed or honored for payment if lost or stolen. Store Credit-Store Credit is not redeemable for cash and will not be replaced or honored for payment if lost or stolen. All Store returns are subject to verification by a valid and current driver's license,state identification,or other approved form of identification from a governmental entity.Golfsmith reserves the right to limit or refuse the return of certain merchandise,such as special or custom orders,custom clubs,assembled or altered components, personalized items and media(e.g.books,video,software, etc.).Free goods,received as part of a promotional offer or a sale are not eligible for exchange or return.For returns of Used Golf Clubs please refer to our Pre Owned Program. gaNs i1 Kh.coo m VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF $ $31.43 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I Golfsmith I 43-560.06 I $31.43 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, December 02, 2013 j. Director, Brookshik 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)) 11/26/13 I Golfsmith I Soft Goods I $31.43 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