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244974 05/05/2015 Q CITY OF CARMEL, INDIANA VENDOR: 358941 ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUQIJECK AMOUNT: S"""'172.18' CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 244974 CHECK DATE: 05/05/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239012 50.29 SAFETY SUPPLIES 1207 4239040 4.58 FOOD & BEVERAGES 1207 4344000 117.31 TELEPHONE LINE CHARGE TA #'9206 dl V 5 5 1:: 1216TH ST :ENI 4603:3 131 T)844-11372 C U 31 J M H F %I U III =R 90020008370 8 K:1 E:P J H L W 1i T 2.29 F 385 K-1 E F A 11 L W H T 2.29 IF T:IX 00 DAL 4.58 C:1 S 1-1 -10.00 A INI 5.12 TOTE"._ \IUME-EIR 31: ITEMS SOLD = 2 10: :;3 (il 020c; 03 0013 163 YDOR ',A'.:dIER JAS M11RGE TIAPINIIN,,: )"01LI FE-IR SHOPPING 1,J1 I MAL'.11A CHIEC-( LIE: IMF: htty,:/)'ww4.,oma1ias.com .......... W:.i7h your Ma-sh Fresh Idea Card 'fou saved !;;!1::-.,1.08 in 201 Ycu -ia%,e SaVE-d $73.96 in 2015. Hair::.h Fresh IAEA Card for •all offers. CHASE 00 Apri101,2015 through April 30 2015 JPMorgan Chase Bank,N.A. Primary Accou P O Box 659754 San Antonio,TX 78265-9754 = CUSTOMER SERVICE INFORMATION t Web site: Chase.com „ ,��„��,,,,,��,,,I,��„�„��„��,,,In�,�,�n�„�„ Service Center: 1-800-935-9935 00002960 DRI 053 14212115 NNYNNNNNNNN P 1 000000000 67 0000 ' Deaf and Hard of Hearing: 1-800-242-7383 TERRY LISTER Para Espanol: 1-877-312-4273 OR PAM LISTER International Calls: 1-713-262-1679 11598 MANSFIELD PL CARMEL IN 46032-8608 Q ' N O O O O O O O O O O A N O O O 04/152015 r M14 ATT'BILL PAYMENT 800-288-2020 TX 0 $117.31 - - Payment History Page 1 of 1 at&t Payment History Review all payments made to this account by CURRENT PAYMENT &CHARGES date or amount. Last Payment Received (04-14-15) $117.31 Total Amount Due $0.00 Credits and Adjustments to your Total Amount Due Print this paoe Previous Payments Click column headers to sort. DATE PAYMENT METHOD AUTOPAY AMOUNT CONFIRMATION POSTED NUMBER 04/14/2015 CREDIT CARD No $117.31 4NQ7CLARE05S5VF 03/20/2015 Check No $130.00 01/29/2015 Check No $168.20 12/26/2014 Check No $111.56 -• Questions?Chat Live https://smb.att.com/pmt/displayHistoryPage.do 4/30/2015 AT&T Account Overview Page 2 of 2 To change your LI-verse service, please call 1-800-321-2000. Representatives are available Monday through Friday 7 a.m.to 11 p.m. Central Time and Saturday 7 a.m. to 7 p.m. Central Time. My Services M Welcome Back, Pam Lister, 140534025 1 Valued Customer Since 12/03/2014 Edit Profile 7 AT&T U-verse Max Plus Package Check Order Status AT&T U-verse High Speed Internet Max Plus Internet Details Download speed up to 18 Mbps Primary Member ID brookshire_golf@att.net OO • Check Email • Create/Manaoe Sub Accounts Internet Support T-Vjust got social "Like"U-verse on Facebook to see more. �fR Like Us https://smb.att.com/olam/uverseDashboardAction.olamexecute 5/1/2015 AT&T Account Overview Page 1 of 2 at&t Account Overview BILL&PAYMENTS Last Payment Received $117.31 Total Amount Due $0.00 View Bill Summary View Full Bill My Message Center Inbox (8) Pam Lister 04/01/11, 05:00 PM,AT&T Smart parents use smart controls. 03/28/11, 05:00 PM,AT&T Download and Watch on the go with AT&T U-verse Mobiles"' 03/28/11,05:00 PM,AT&T MLB Network(Major League Baseball Network) is now available. 03/07/11,02:00 PM,AT&T Manage your U-verse@ account anywhere,anytime from your phone! 03/02/11,05:00 PM,AT&T U-verse Movies is evolving the way you watch. View All https://smb.att.com/olam/uverseDashboardAction.olamexecute 5/1/2015 VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF$ $121.89 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 P Lister 43-440.00 j $117.31 1 hereby certify that the attached invoice(s), or 1207 O'Malia 42-390.40 $4.58 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 Friday, May 01, 2015 Director, Brookshire f 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)) 04/15/15 P Lister Phone Bill 140534025 $117.31 05/01/15 O'Malia Food $4.58 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 amazon.com, Final Details for Order #106-3677419-2392246 Print this page for your records. Order Placed: April 24, 2015 Amazon.com order number: 106-3677419-2392246 Order Total: $53.81 Shipped on April 25, 2015 Items Ordered Price 1 of: Sportsman CIFBELL Cast Iron Farm Bell $50.29 Sold by: Amazon.com LLC Condition: New Shipping Address: Items) Subtotal:--$50.29 Rachelle A. Higgins Shipping & Handling: $0.00 PO Box 960 ----- Westfield, IN 46074-8418 Total before tax: $50.29 United States Sales Tax: $3.52 Shipping Speed: Total for This Shipment:$53.81 Two-Day Shipping ----- Payment information Payment Method: Item(s) Subtotal: $50.29 Debit Card I Last digits: 4433 Shipping & Handling: $0.00 Billing address Total before tax: $50.29 Rachelle A. Higgins Estimated tax to be collected: PO Box 960 $3.52 Westfield, IN 4.6.07.4-8418 United States Grand Total:$53.81 To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice © 1996-2015, Amazon.com, Inc. or its affiliates VOUCHER NO. WARRANT NO. Petty Cash ALLOWED 20 IN SUM OF$ $50.29 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I Amazon I 42-390.12 I $50.29 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, May 05, 2015 Director, Broo&ye 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)) 04/24/15 Amazon Bell $50.29 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