HomeMy WebLinkAbout229986 03/12/14 CITY OF CARMEL, INDIANA VENDOR: 367955
ONE CIVIC SQUARE INDIANA RESTAURANT & LODGING ASCdCCK AMOUNT: S..""'"270.00'
'. CARMEL, INDIANA 46032 200 S MERIDIAN ST SUITE 350 CHECK NUMBER: 229986
INDIANAPOLIS IN 46225 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 7212 270.00 ORGANIZATION & MEMBER
Indiana Restaurant & Lodging Assn. INVOICE
200 S Meridian St, Ste 350 Invoice Number: 7212
Indianapolis, IN 46225
Invoice Date: 2/26/14
Page: 1
Voice: 317-673-4211
Fax: 317-673-4210
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BOB HIGGINS
BROOKSHIRE GOLF COURSE
12120 BROOKSHIRE PKWY
CARMEL, IN 46033
Customer ID: BROOKSHIRE
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P.O. 20011 Net 30 Days 3/8/14
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SERVSAFE CLASS FOR BOB HIGGINS AND BRIAN BALLARD 270.00
Subtotal 270.00
Sales Tax
Total Invoice Amount 270.00
Check/Credit Memo No: Payment/Credit Applied
INDIANA RETAIL TAX EXEMPT PAGE
Cityo Carmel CERTIFICATE NO.003120155 002 0 Jl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT lVtom' �
35-60000972 V
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR (� d SHIP � � ;/�Nc'� Pit-/x
3�_a TO t�Cts-
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
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PLEASE INVOICE-IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Cf•✓ /I J1�.�-C�I t/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
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� CLERK-TREASURER
DOCUMENT CONTROL NO. A. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
20
...........--...................................................................................._...............................................__......--....._......._....-.-.
Signature
....................................................................................................
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Restaurant & Lodging Assn.
IN SUM OF $
200 S Meridian St. Ste 350
Indianapolis, IN 46225
$270.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 7212 I 43-553.00 I $270.00 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
Tuesday, March 04, 2014
Director, Brooksh& 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))
02/26/14 7212 Servsafe Class $270.00
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