249395 09/09/15 l*ur.C4H,yR!
CITY OF CARMEL, INDIANA VENDOR: 358941
d 4 ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUNECK AMOUNT: $...*****73.49*
?4 CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 249395
CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 ENTENMANNS 7.80 FOOD & BEVERAGES
1207 4239040 OMAILIAS 5.99 FOOD & BEVERAGES
1207 4239040 SAMS 59.70 FOOD & BEVERAGES
,µ
Self Checkout
CLUB MANAGER RYAN SIMPSON
(317) 585-1619
INDIANAPOLIS, IN
08/24/15 18:38 2362 8168 093 9093
KATHY VASIL
E 914184 MULTIGRAINSF 3.98 N
E 914184 MULTIGRAINSF 3,98 N
E 914184 MULTIGRAINSF 3.98 N
E 914184 MULTIGRAINSF 3.98 N
E 914184 MULTIGRAINSF 3.98 N
E 914184 MULTIGRAINSF 3.98 N
E 59822 CIABATTA F 3.98 N
E 59822 CIABATTA F 3.98 N
E 59822 CIABATTA F 3.98 N
E 59822 CIABATTA F 3.98 N
E 59822 CIABATTA F 3.98 N
E 59822 CIABATTA F 3.98 N
E 59822 CIABATTA F 3.98 N
E 59822 CIABATTA F 3.98 N
E 59822 CIABATTA . F 3.98 N
SUBTOTAL 59.70
TOTAL 59.70
MCARD TEND 59.70
MasterCard ###tt **** **** 2261 I 2
APPROVAL # 09359P
AID AOOOOO00041010
TC 1FCCO13CAA13F414
TERMINAL # 281035307
*NO SIGNATURE REQUIRED
CHANGE DUE 0.00
Visit samsclub.com to see sour savinss
8 ITEMMS SOLD 15
TC# 3874 1855 3324 7086 5421
II IIII IIII I III t i l II I I I II I li I I I III IIIIlIi
Please tell us about your shopping experience
http:/Iwo,survey.sa msclub.conn
IN RETURN FOR YOUR TIME YOU COULD RECEIVE
ONE OF FIVE$1,000 SAM'S CLUB SHOPPING CARDS
Must be 18 or older and a legal resident of the 50 US or
DC to enter..No purchase necessary to enter or win.To
enter without purchase and for official rules visit:
www entrysurvey samsclub cam
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))
08/24/15 I Sam's I Bread I $59.70
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 $
$59.70
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE F7MOUNT Board Members
1207 I Sam's I 42-390.40 I $59.70 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
Wednesday, August 26, 2015
A 4y—/
irector, Brookshi olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
P A-r k�--1
ENTENMANNS BAKERY OUTLET
6935 D LAKE PLAZA DRIVE
INDIANAPOLIS IN
(317)570-1741
11 :02AM Aug 28/15
00-7514 001 -- CINDY
#16091 /'
6.000 ® $1 .30 �.
BB 24oZ 100%WWWP F1$7.80
• d
TTL $7.80
CASH $10.00';
CHANGE $2.20'
THANK YOU FOR SHOPPING
AT ENTENMANNS BAKERY
OUTLET STORES t'
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))
08/28/15 I Entenmann's I Food I $7.80
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 $
$7.80
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I Entenmann's I 42-390.40 I $7.80 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 28, 2015
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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BE $335 S WIB K 11"I U.?III lil N,,6 R N 1 .00-F
BE 384 AN BEST 301 12WORN .69-F
BE -AS I AM BEST WUI 12WORN .69-F
411* f 0 00 BAL 5091,
c qQ-1 6.00
c d AN A H .01
TOW -WER JF ENTS SOLD
1;./2 S/I : I D: :i3 :i'1� 021C'6 ()3 0021 163
Y('11 Ll R, -r0DAY
( 28% )
4)lItIt 11:11 N 04-lill A-11.lilt
(11111PIN VLJS SIVJYI]6 2.38
;S (28%) S 2.38
41);If if 11 Ib No!11.Ili 11 11.11.dilt x
THAMA OW FOR SHOPPING
0'MAL I h
jw1w.,iqarh .net FOR
IND WEEKLA AD SAVINGS
Y�X- -'X ii X"i
0 IJ Z)I'"E,!' Cl I'l 0 U ir- w a L_1A,Wlia ir-in-i-ri -a $10 -
d ii,i z�!, ,
Gift Card !
FU E. snv['�R REWARDS
YOU $2.800
ri c c:I-,P1 I�3 i'c(j E!1 Save,(- Rewards
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))
08/26/15 O'Malia Bread $5.99
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 $
$5.99
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I O'Malia I 42-390.40 I $5.99 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, August 26, 2015
Director, Brookshi Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund