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233960 06/25/14
`% ��p"F� CITY OF CARMEL, INDIANA VENDOR: 365410 ONE CIVIC SQUARE BRIAN BALLARD CHECK AMOUNT: $*******101.96* �_� CARMEL, INDIANA 46032 28 W.EVENING ROSE WAY CHECK NUMBER: 233960 .y��ioN�. WESTFIELD IN 46074 CHECK DATE: 06/25/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4230200 101.96 OFFICE SUPPLIES F- INDIANA GOLF SHOPPING CART ACCOUNT LOGOUT Promoting tt1@ Game, Honoring the Tradition. Customer Service:(317)339-2658 f RECEIPT i Below is the Receipt for your order Cart Number: CT5747 Bank 29454B Reference: Ordered By Deliver To Name Brian Ballard Brian Ballard Email bballard@carmel.in.gov 12120 Brookshire Pkwy Phone 317-846-7431 Carmel IN 46033 a US Item # Date Qty Name Product Cost PM15438 Jun 17 2014 7:47AM 30 Score Sheet Version A Score Sheet Version A $45.00 PM15439 Jun 17 2014 7:47AM 20 Score Sheet Version B Score Sheet Version B - --$30.00 Cost of Items $75.00 f Freight $26.96 Total excl. Sales Tax $101.96 Sales Tax $7.14 1 Total incl. SalesTax 109.10 Total Payment $109.10 Balance Due I $0.00 3 HOME PRODUCTS ORDERS REPORTS CART ©Copyright 2013,Priority Interactive Select Transaction Type Time Period: f Transaction Details as of 06/24/2014 Sate Date Description Amount 06/17/2014 PRIORITY PRESS INC.317-2414234 IN $109.10 VOUCHER NO. WARRANT NO. ALLOWED 20 Brian Ballard IN SUM OF$ 5863 Scott-Ian Court Indianapolis, IN 46254 $101.96 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1207 I B Ballard 6-17- I 42-302.00 I $101.96 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 - V Tuesday, June 17, 2014 Director, BrookshirePolf 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)) 06/17/14 B Ballard 6-17-14 Score Sheets $101.96 I 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