HomeMy WebLinkAbout239092 11/11/2014 _q,, CITY OF CARMEL, INDIANA VENDOR: 358941
ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COURMECK AMOUNT: $"""***"44.25•
s. f=a CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 239092
'M,�,oN-�. CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 44.25 FOOD & BEVERAGES
0 " 1,11►F'lL.16 R #206
41,55 I'.:. '1261-H ST.
CARMEL,, IN 46033
C 31 T)844-11372
E.367 ID G .JCE 'A/CA 3.89 F
6567 O(;G .JC1: ,J/CA 3.89 F
6 567 IJ RG J c F W/CA 3.89 E"
j TriX .00 BAL 11 .67
c IS1-1 20.00
C I-I A INI:a E 8.33
TOTflt- NL:IhBE:R 01= ITEEMS SOLD = 3
1 1/01/1 9 10: :)1 I'IM 0206 03 0037 15 4
YOUR ASI-IIER WAS NIKITA
THAhlisl: YCILI FOR SHOPPING
CHEC{ UE; ULJT1 hath.//www.oma Iias.com
Self Checkout
CLUB MANAGER RYAN SIMPSON
(317) 585-1619
INDIANAPOLIS, IN
10/25/19 13:11 2352 8168 093 9093
RICHARD VASIL
E 377608 ROMAINE I 3.98 N
-E--499933 DCELBOWS F 5.98 N,
E 679109 TOMATO I,/ 9.98.N
E 362153 BANANAS 1 1 .38 N
SUBTOTAL 15.82
TOTAL 15.82
MCAR1 TEND 15.82
ACCOUNT # **** **** **** 6670 S
APPROVAL # 31611P
TERMINAL # 281035307
CHANG DUE 0.00
Visit samsclub.com to -eeyour savings
# ITEMS S D 4
TC# 8378 7256 8853 9803 6327
11111111111 111111 11111111111111�11 1111 lilil 111 !1111111111111111
Please tell us about yourshopping experience
http:llwwvv.Sin Vey.sarnsclub.Will
IN RETURN FOR YOUR TIME YOU COULD RECEIVE
ONF.OF FIVE$1,000 SAM'S CLUB SHOPPING CARDS
Must be'l8 or older and a IeSiil resident of the 50 US or
DC to enter.No purdiase necessary to enter or win.To
enter without purchaae and for official ndas visit:
www.ant ry.survey.s an rsclu b.twin
Sweepstakes period ends on the date shown in the
official rules.Survey must be taken within
TWO weeks of today.
Esta epcueata tambien se encuentra an espanol en la
papina de Internet.
*** MEMBER COPY ***
GF
Markistpja
Fishers
9540 Masters Rd
Indianapolis, IN 46250
(317) 845-0712
www.sfsmarketplace.com
CARMEL CLAY EDUCATION FDN
2418008000422542
2 @ 6.99
Fries RC 3/8" Slth 11 .98
4372401
Cracked Wheat Brea 2.79
7134730
24Z WHITE RND TOP 1 .99
2160970
TAX 0.00
*** BALANCE 16.76
************6670
Approved MIUP19051004176 87346P S5
MasterCard 16.76
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD = 4
10/25/14 12:52pm 1905 4 274 56007
li IIlillillli IIII Ilii! lililili�ilill
80190500402741410251252
Store 1905 Lane 4
Transaction 274 Operator 56007
You could win $500
In FREE groceries!
Please visit
www.sfsmarketplace.com/survey
and tell us how we are doing.
Survey must be completed
within 72 hours.
No Purchase Necessary.
Open to all legal residents of MI, WI,
IL, IN, OH, PA, KY, TN, MO and FL who
have the age of majority in his or her
-state of residence at the time of
entry. See website for Official Rules.
See the latest offers and promotions
www,GoFindSave.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF$
$44.25
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
'PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 Sam's 42-390.40 $15.82 I hereby certify that the attached invoice(s), or
1207 GFS 42-390.40 $16.76 bill(s) is (are)true and correct and that the
1207 I O'Malia I 42-390.401 $11.67
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, November 05, 2014
Director, Brooks[ Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
f
Y
r
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))
10/25/14 Sam's Food $15.82
10/25/14 GFS Food $16.76
11/01/14 I O'Malia I Ice I $11.67
I
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