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249978 09/24/15 u'���'' CITY OF CARMEL, INDIANA VENDOR: 358941 ® �, ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COU�t��CK AMOUNT: $""**""""25.59" ,. ,�� CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 249978' +,�___ � CHECK DATE: 09/24/15 �ruN�° DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 25.59 FOOD & BEVERAGES i ENTENMANNS BAKERY OUTLET 6935 0 LAKEPLAZA'DRIVE INDIANAPOI_IS. IN (317)570-1741' I. M \ i 00-7J 14 001 10385 JU17 23115 CINDY 6.000 @ 6 $1.30 B6 1802 SdB fStkRy ..000 @ $1.30 F1$7.80 BB 240z 100%WWWP 7-.7-L F1$7,80 CASH CHAN6E $15,60 $r6.00. THANK YOU FOR $0.40. R SI-POPPING T ENTENMANNS' BkKERY OUTLET STORES Y Gordon"r FOOD SERVICE STOKE Fishers 9540 Masters Rd . Indianapolis, IN 46250 (317) 845-0712 www.sfssfore.com 2 @ 19.99 Pork Pulled BBQ 1- 39.98 5840501 SC 2 @ 10.00 SC $10 off Pulled Po 20.00- SC 811099999998 TAX 0.00 **# BALANCE 19.98 Cash 20.00 CHANGE 0.02 TOTAL NUMBER OF ITEMS SOLD = 2 1I,f 09/07/15 09:06am 1905 III IIIIII�II I II IIIIIIIIII I II26 64856 I III IIII I I �F/�"�If 80190500300261509070906 �n Store 1905 Lane 3 Transaction 26 Operator 64856 You could win $500 An FREE groceries! Please visit www.sfsstore.com/survew and tell us how we. are doing. Survey must be completed within 72 hours. No Purchase Necessarw. Open to all legal residents of MI, WI, IL, IN, OH, PA, KY, TN, MO and FL who have the age of majority in his or her state of residence at the time of entry. See website for Official Rules. t offers and promotions Save.com VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF$ $25.59 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 Entenmann's 42-390.40 $15.60 1 hereby certify that the attached invoice(s), or 1207 Gordon 42-390.40 $9.99 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, September 08, 2015 Director, Brooks . e 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)) 06/23/15 Entenmann's Food $15.60 09/07/15 Gordon Food $9.99 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