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234090 06/25/14
(9, CITY OF CARMEL, INDIANA VENDOR: 358941 ******** * ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF COURbECK AMOUNT: S 56.45CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 234090 CHECK DATE: 06/25/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4230200 54.45 OFFICE SUPPLIES 1207 4239040 2.00 FOOD & BEVERAGES MIMERICA INVOICE BEWRACE CITY OF CARMEL. dba BROOKSHIRE GOLF CLUB INC■. 12120 13ROOKSHIRE. PARKWAY 2755 Commerce Dr. CARMEL I N 46032. P.O. Box 2856 Kokomo, IN 46904-28562 ;5 4.-2 EX-F. 07/'j- 57'14 765-459-3117 600-382-0675 Fax: 765-457-7967 + ; :' BEER W3409212 <:i� INVOICE DATE INVOICE NUMBER SALESMAN NUMBER: CUSTOMER NUMBER ROUTE, 06!] x/14 567526 Dustin Smithas _ . RODUCT QUANTITY DESCRIPTION PRICE DEPOSIT. AMOUNT •. BASE Sepember -30, 2013 PROMID #061A. Wine:,' W3429870 a 86.00 . 30.00 J.25:.. 1 •' 13u�' Lt 1/2 BHS.... 1516 2 ^'' Shack Lemon 16 Oz 6/4 CN 22. 10 1.6.0 44.2 i Cases 2 1/2 Barrels 1 - ' TOTAL SALE 16a o; 10303 EMPTY AB 1/6 30.00 T 10304 EMPTY AB 1/2 30.00 H 10405 EMPTY AB 1/4 30.00 A 9230 PUMP DEPOSIT :.. ..33.00 N 9270 IMPORT PUMP DEPOSIT 33.00 K 160.:, RETURNS TOTAL CREDITS 100- Y C,REDtTS ❑ Cash ❑ EFT El Escrow 4c.heck Number !�c U • Driver 9z:5 Received BV_ \f� VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF $ $2.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 567526 I 42-390.40 I $2.00 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 Thursday, June 19, 2014 Director, BrookshirA6If Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund i 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)) 06/19/14 567526 Beer CK short $2.00 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 Order Confirmation Page 3 of 5 • Thermal Transfer Labels • Thermal Transfer Ribbons • Toilet Paper • Trash Can Liners • Ultrasound Paper Full Catalog© Paper Rolls Printer Ribbons Credit Card Supplies Restaurant/Retail Supplies POS Hardware Shop by IndustEy Shopping Cart Progress 1 Shipping/Billinggo 1 2 Order Review ge Confirmation go 1 Thank you for your order! We greatly appreciate your business!! (Order confirmation number is shown below products in Shopping Cart on this page) If you have any questions about your order, please Contact Us Shopping Cart Item Unit Price Qty. Cost �� - 2-Part Sales Slips(Long)100-Pack $4.85 10 $48.50 Subtotal: $48.50 Shipping:m 9: $5.95 Tax: $0.00 Total: $54.45 Order Confirmation Confirmation Order Date: 06/16/2014 Order Number: #-551181 Ship To Pamela Lister Shipping Method: Ground Brookshire Golf Club 12120 Brookshire Pkwy Carmel, IN 46033 317-846-7422 Bill To Pamela Lister 11598 Mansfield PI Carmel, IN 46032 317-201-7964 Pllister@msn.com https://us-dc 1-order.store.yahoo.net/pospaper-store/ymix/MetaController.html?ysco_key_o... 6/16/2014 VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF$ $54.45 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1207 I 551181 I 42-302.00 I $54.45 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, June 17, 2014 Director, Brooks 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)) 06/16/14 551181 Sales Slips $54.45 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 5-11-10-1.6 120 Clerk-Treasurer