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245589 05/20/15 CITY OF CARMEL, INDIANA VENDOR: 358941 ONE CIVIC SQUARE PETTY CASH - BROOKSHIRE GOLF COURRECK AMOUNT: $.....**100.51 CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 245589 CHECK DATE: 05/20/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 100.51 FOOD & BEVERAGES FAN INVOICE CIT`! OF CARMEL • _ E dba BROOKSHIRE: GOL 'CLJB 1?2:-Q BROOKSHIrE PARKWAY CARMEL liq 46032 2755 Commerce Dr. P.O. Box 2856 Kokomo, IN 46904-2856 +;�. Z,=4'.' 9 v n v 5 r /a c 765-459-3117 800-382-0675 Fax: 765-457-7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE r• 14/9 60--',e 4e Dustin G'--r) th �5 -sD ® ° e D •e ° e° BASEE Sm- em/b�ei- 1'_�, 2�a1.4 PRO •42 8B70 1 09 .16� Bud 2A Lse Can 209 1.2 -- Bud L 24 Lse Can 18.60 223-20 '08 5 M c�h U;1 a ?;1? � �,�; 2 ,.85 16 .� r 925 1 iii ; =h L:;. tra 1/6 tFL i6.25 30 00 b•y 10 18 1 _�`Gt- r.�+ R 24 . 70 24 .7". Re�fbridae Lai .';_, f�(r�; 15:373 Z:"-el la is/10 "ruck {.4.9 oz 2Q. /10 88. 5c Y�s Cases 2.7 .114 Harrels I •®° ®D ° TOTAL SALE �'1 ' 10303 EMPTY AB 1/6 30.00 T 10304 EMPTY AB 1/2 30.00 H 10405 EMPTY AB 1/4 30.00 A 10301 EMPTY CROWN 1/4 BBL 30.00 N 9230 PUMP DEPOSIT 9270 IMPORT PUMP DEPOSIT 618`5' a:' .fes t''.Y "f;^..0 ,~Q ,. V,,'+• O D - - :4 �r :.F _>: •° �, CREDITS /® Cash ❑ EFT ❑ Escrow l© Check Number Driver r`�' Received By 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)) 05/14/15 Mid America Beer $24.70 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF $ $24.70 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I Mid America I 42-390.40 I $24.70 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, May 14, 2015 Director, Broo ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Gordon „ FOOD SERVICE STORE Fishers 9540 Masters Rd Indianapolis, IN 46250 (317) 845-0712 • www.sfsstore.com Brookshire Golf Course 2629357 2 @ 4.99 Dial Hand Soap 1-1 9.98 1775211 3 @ 4,29 Scrubbing Bubbles 12.87 2085911 Dispenser Squeeze 9.99 5702841 Bskt Plas Ovl Red 8,99 7657501 Bskt Plas Ovl Bk 1 13.99 7657601 Dial Complete Hand 19.99 2692721 TAX 0.00 **** BALANCE 75.81 ************6461 Approved NOXC19050502362 052113 S5 VISA 75.81 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD = 9 05/12/15 01 :24pm 1905 2 102 62833 Qualifying GO! Points earned: 402 Ill 1111111111111111111 I II III I I I I I 80190500201021505121324 Store 1905 Lane 2 Transaction 102 Operator 62833 You could win $500 in FREE sroceries! Please visi#L www.sfsstore.com/sii' ey 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 Now Hlrins! ! visit sfs.com/careers • 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)) 05/12/15 GFS F/B Supplies $75.81 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF$ $75.81 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I GFS I 42-390.40 I $75.81 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 except Tuesday, May 12, 2015• Director, Br /shire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund