248484 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 358941
ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUQ19ECK AMOUNT: S"""""""216.21"
?� CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 248484
CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 166.74 FOOD & BEVERAGES
1207 4355300 49.47 ORGANIZATION & MEMBER
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Licensee: PAMELA L. LISTER
License Number: BR1596215
Authorization Code: 023331
Received Date: 8/7/2015 11:00:44 AM
Transaction ID: 43647546
Credit Card Number: XXXX XXXX
XXXX 3362
Fee Amount: $45.00
Enhanced Fee: $2.50
Instant Fee: $1.97
Total Payment: $40.47
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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))
08/07/15 P Lister Permit Permit $49.47
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$49.47
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I P Lister Permit I 43-553.00 I $49.47 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
Friday, August 07, 2015
Director, Brookshir 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))
06/26/15 I Meijer I Food I $86.44
06/27/15 I Walgreens I Peach Water I $3.96
07/16/15 Entenmanns Food $2.60
07/16/15 Entenmann's Food $3.00
07/22/15 O'Malia Food $10.77
07/27/15 Entenmann's Food $15.80
07/29/15 Sam's Food $25.92
08/02/15 O'Malia Food $12.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$160.49
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 I Meijer I 42-390.40 I $86.44 I hereby certify that the attached invoice(s), or
1207 Walgreens 42-390.40 $3.96
bill(s) is (are) true and correct and that the
1207 Entenmanns 42-390.40 $2.60
materials or services itemized thereon for
1207 Entenmann's 42-390.40 $3.00
which charge is made were ordered and
1207 O'Malia 42-390.40 $10.77
1207 Entenmann's 42-390.40 $15.80 received except
1207 Sam's 42-390.40 $25.92
1207 O'Malia 42-390.40 $12.00
Tuesday, August 04, 2015
/ � r
Director, Brookshire �VIf 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))
07/29/15 I Marsh I Buns I $6.25
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 $
$6.25
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I Marsh I 42-390.40 I $6.25 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
Wednesday, July 29, 2015
irector, Brookshir if Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund