250024 10/05/15 . CITY OF CARMEL, INDIANA VENDOR: 358941
b i! ONE CIVIC SQUARE PETTY CASH - BROOKSHIRE GOLF COURtIECK AMOUNT: $..... "109.52`
CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 250024
CHECK DATE: 10/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 109.52 FOOD & BEVERAGES
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))
09/27/15 O'Malia Bread $11.35
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 $
$11.35
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I O'Malia I 42-390.40 I $11.35 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
Monday, September 28, 2015
i
Director, BrookshYre"Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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1'rItil,]k i(OU FOR SHOPPING
0 11 H L rel I
V T T „i wi w,• jA a rs,h .n e t FOR
C(11 U:)(I kI 1: !'INID WEEKLY ALI SAVINGS
I C)IJ C.' 0 11 Y 0 U ir' w a
fci $10
G ift !Car
d
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))
09/29/15 O'Malia Bread $2.98
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 $
$2.98
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I O'Malia I 42-390.40 I $2.98 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, October 01, 2015
Director, Brooksh Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
01 06
1261*11 ST.
C I TNI X16033
311 )3•''14 -1!372
1 19 F
1 19 F
c(13,1 '111 �l U I'll 6, 10020008370
5.00
2.CI 2.
I OT .1 1,E 1:,', 11: 11 F S(I L F) = 2
1 1 11 02O , 03 0029 163
y'I lj F, MORGE-.
T'HO11-1,: 'TOU FOIR, 'SHOPPING
lrh .In e t F 0 R
C 0 U 1)1,-1 W) 141 EKLY AD SAVINGS
)101J 011 LHOU'r way
a $10
1,0 E:0:.1i (31 f IC a r d
FIKA.. !;i1VI::F2 RE-WARDS
TICIFNO $3.200
Fuel
4•mi I,-(I s; earned o I a-zi
i I-e in 63 dans.
X X X-X X:k X i t
-- ---------------
Wahinar ®9®..
Save money. Live better. �
( 317 ) 849 - 0096
MANAGER MARC:I• ANDERSON
2001 E 161ST ST
CARMEL IN 46033
ST# 01601 OP# 0010919 TE# 09 TR# 01870
LEMONS 003338311906 1 3.24 N
MINT 076857300110 F 1 .98 N
BASIL 076857300100 F 1 .98 N
CHOC 0028000'72OG7 F 1 .00 N
STRAWBERRIES 085229800204 F 3.84 N
DOMINO SUGAR 004920004550 F 2.42 N
DICE 004776477000 1•37 X
DICE 004775477000 1 .97 X
EAR DROPPER 007760200608H 1 .47 X
MEDALIST POK 085994700485 1 .97 X
MEDALIST POK 085994700485 1 .97 X
RKA STRAWBRY 004300095561 F, 0.20 N
RKA MXD BRY 004300095687 F 0.20 N
RKA STRAWBRY 004300095561 F 0.20 N
RKA STRAWBRY 004300095561 F 0.20 N
RKA MXD BRY 00430009568'7 F 0.20 N
RKA MXD BRY 00430009568•1 F 0.20 N
JELLO GEL 004300020051 F 1 .08 0
JELLO GEL 004300020051 F 1 .08 0
RASP JELLO 004500020052 F 1 .08 0
RASP JELLO 004300020012 F 1 .08 0
RASP JELLO 004300020052 F 1 .08 0
`JELLO GEL 004300020051 F 1 .08 0
RASP JELLO 004300020052 F 1 .08 0
JELLO GEL 004300020051 F 1 .08 0
RKA STRAWBRY 004300096561 F 0.20 N
RKA MXD BRY 004300095687 F 0.20 N
FR MOZZ PRLS 003114200480 F 2.98 0
FR MOZZ PRLS 003114200480 F 2.98 0
GV CKTL SCE 007874212392 F 0.98 0
GV CKTL SCE 007874212392 F 0.98 0
CHOC 002800072067 F 1 .00 N
8OZ KNOX G'fN 004300004867 F 10.12 0
GV-CKTL SCE 007874212392 F 0.98 0
MINNEOLA 000060004383KI
3 AT 1 FOR 0.58 1 .74 N
2 BAG LIMES 003338314683 I 2.54 N
GV COND MILK 007874243304 F 1 .56 0
GV CKTL SCE 007874212392 F 0.98 0
GV XVIRG 01_V 007874242778 F 3.96 0-
BALSAM
_BALSAM GLA7_E 002682500772 F 4.98 0
MIXER 001660000005 F 2.58 X
GRAPE TOMATO 003338365685 1 2.48 N
SUBTOTAL 74.89
TAX 1 7.000 R 0.84
TOTAL 75.73
DEBIT TEND 75.73
CHANGE DUE 0.00
EFT DEBIT PAY-FROM PRIMARY
75.73 'TOTAL PURCHASE
ACCOUNT # **** **** **** 8159 S
REF # 526500676320
NETWORK ID. 0071 APPR C9i11E 217831
TERMINAL # MX026850
PartyCity
NOBODY HAS MORE PARTY FOR LESS
14299 CLAY TERRACE BLVD, 0100
CARMEL, IN 46032
317-815-3846
041165018110 1 .50Z SOUFFL $3.99 T
PORTION CUP CLR 1 .25 OZ
048919396833 OLD COIN $5.99 T
OLD COIN
048419333845 8[N BAMBOO S $1 .49 T
8IN BAMBOO SKEWER
048419333845 8IN BAMBOO S $1 .49 T
8IN BAMBOO SKEWER
070896612083 tOZ IVORY TC $1 .99 T
1OZ IVORY ICING COLOR
086232399204 1 .47OZ CASI:N $1 . 19 T
1 ,4702 CASINO CHIP CASTLE
086232399204 1 .470Z CASIN $1 .19 1
1 .970Z CASINO CHIP CASTLE
086232319936 .80Z MEDALLI $0.99 T
.80Z MEDALLION FORT KNOX
086232319936 .80Z MEDALLI $0.99 T
.80Z MEDALLION FORT KNOX
086232319936 .80Z MEDFlL1.1 $0.99 T
.80Z MEDALLION FORT KNOX
SUBTOTAL $20.30
GEN MERCH TAX @ 7,000% $1 .42
TOTAL $21 .72
$21 .72
ITEMS - 10
DEBIT SALE $21 .72
XXXXXXXXXXXX8159
DEBIT: ***********-8159
JOURNAL: 0673114295822027
STORE 673 TRN 92 REG 1
09-22-2015 05:41 :49 PM
141 12C1 001 03KC
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SEASONAL ITEMS MAY BE RETURNED ',r' F
UP TO 7 DAYS PRIOR TO HOLIDAY _
MERCHANDISE CREDITS ARE ONLY (( )1
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ZO RETURNS MUST BE MADE WITHIN
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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))
09/22/15 Party City Food $20.30
09/22/15 Wal Mart Food $74.89
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 $
$95.19
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 Party City 42-390.40 $20.30 1 hereby certify that the attached invoice(s), or
1207 Wal Mart 42-390.40 $74.89
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, September 23, 2015
r
Director, Brooksh Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund