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Home My WebLink About250433 1 0/07/1 5 ' �� CITY OF CARMEL, INDIANA VENDOR: 359366 ® it ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: S"""2,165.22" �. = CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 250433 M�_aH�.` INDIANAPOLIS IN 46206-7137 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 509241676 1,419.02 FOOD & BEVERAGES 1207 4239040 510011554 746.20 FOOD & BEVERAGES Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO oft come from BROOKSHIRE GOLF CLUB+- 12120 BROOKSHIRE PKWY b/Sc 412940 509241676 6 1 SYSCO INDIANAPOLIS, LLC Ail CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 BAfANCFS::ARF 317-846-7431 DUE FRIDAY 4 WEEKS. AFTER ORnER I MXR FRIDAY - ILI I I VKHY CITY OF CARMEL I MA: SNI 1 CIVIC SQUARE DRIVER: rUCHANAN,GEORGE CARMET, IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY.REFERENCE. -ITEM- IT AT ON RIPTI .::::. :: 1:� ;PR I a 4py:��: Si 7777 CITY. p :,tl)DEa a E. — . .....—a PR I.0 �FFECTIVE 7/0.1 k 15 SYSCO INDIANAPOLIS WILL NO ... LONGER ACCEPT CASH-'.ASS A...FQRM-OF RAYMENT. . ....... .........s Ki�YOUR:::Rk��TO iD TAILS.. DAIRY ..::.:>;........... ....... .......... -0- IS: DNLI 5 L8 3BRLCLS. CHEESE.:..AMER::1::2 6691:114 6:: GROUP T(.)TAL**** 17.86 ............ ..... ....... X q MEATS .......... ........ ... . ........a ...... ... ..... .......... .......... ::::';''79:26 .. ... ..... CS 05 BEEF::GPNE�I.i.:PTY:..:..:.HMSTYLE ::: J:.:�-:81 T,:I:REIMP.:..* :::.T ... ......aa 39 N MATE CS,::: JHNSV 86 9a:::9: �L-E BRAT.W1,URST PR LT -.155:8 2116 0: :* A 1.0 _U ...... . .... CS::::.>;::>::25LB.,:::::: BRLCLS ?RANK ALL:::MDAT::>:5X1::>;6.>::I fi.:;:;.:;.::. .......... .....748. .506792.. 1137:736;:;;;28>� 57 q0 : ........a ... :a.-a--aa .............. .. - :* :6 CS::::.: 4 2...5.::::LB MLCLS,:,:.HAM :SLICEDHNYT. :]:.:AI)V.]FRESH H0850SL98284 2 9 1 9. 0 i: :i:4 93:�. GROUP TOTAL**** 226.88 ............... k...:::.i:.SEAFOQD:*T*** IAB . SH 2.6/.3002603.00PTOWHPT 950:248.5:: 89.80::x:::: GROUP TOTAL 0 . .......I . ........ ... .... ... ... POULTRY ...... 7 X- ?�4 2 MHQT,SM a.. MS TBRAG SL B.,4 8 6 0 0 0 3 4 2�:&'��1B B BRL C L:F5 TU RKEVi:3RST SLI I-AL*** GROUP TY FROZEN .......... ........... �99 CS ::, ::11:0..O:��CTiYSl:MP.:AiPTZR * . DLX:.:NELLI:NG.TON.��:�::':'�::i��:��'�:::::� 127 .. ........ .. .BEEF... . .............. .. ....... ............ S, .D ...... NL 4 3Y LB S:IMP Ap TZ:R::::PEP.PER......JAL...... :-:-:-:,:-410DO : I.:2:204683 55:.22:::: -- ------ ............ 5: 0,0;.�.:�:QT SYS�J MRI��APTZ R: SPANAKOPITA: :6986178: 698,6178 8 ....................... -9:..... .. .........a.a.. ............ CS :.:'.::1:212:..:::CNT 3YS :::CLS.>.BUN.a.�.HOT:::DOG. WHITE" HTNGD: >.:;::::'545071:2U: 249:662. TO 9B CS::::: f2 5,::::::LB3 �S :MP::MUSHR 0 EDI: Y I A. BREAD BUTR 0 F 9.5.3.4$19 .:.:;.::55::.,,5:: : :.;:.;... ::::::::. ....... w w ...... ....... .......... T .. .. ..... . ...... 64 LB a 3Y-S::JMP O.TATO:::S.Kl:g..*I�W-NCHATATER.�.31:2 T::::.:::: 0.70.0:::102:7218.��::64 :85: ::::::*64a: 85: .. .....aa 9.& C7� .......... L: KA1ER-:.HNA..:::RN ...... 9101G��7975362- :1�- .. ....a.. .I1TO:: iR0LS .... .: .... ...... 0 AM CLOSE: 2:u N rA U PM r1I I C Pr)QcZ XA/T OPEN: 7:U -CASF:q ---p-I IT Tr)T Prc- P.0 ...BOX 7137 2 16.2 238 INDIANAPOLIS IN SUE R IMPORTANT: PERISHABEL E PRODUCTS ARE NOT EUGIBLE FOR RETURN AFTEF H206-:7137 TOTAL E DEL VERY.S AFTER INVOICE WE WILL NOT RECEIVED I PLEA��EGCHFTER Y FOR ANY SHORTAGE A U HAVE 8IGNED. PIECES RECEIV D MU T TAX .v EE TOTAL DRIVER'S LIST. NO. PCs SIGN IGN REC. INVOICE INV C, TOTAL CO A ��R .o THESE C I T M�Lt,fj 0 �TI �L� UII�k 7 U T �%&LTUCJL PIT gbj�bA�l LJE�Y�E� Q C A R 26 " I V,� J�(TC.� Cf V�R�&U PAYABLE ON OR BEFORE T V 't, :gM.QD,�, &g�A ET A R TIT C', I DERIVEDFROMTHESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THESALEOF THESE COMMODITIES UNTIL o FULL PAYMENT IS RECEIVED. CONT. ON PAGE 2 Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO &am come from 11JIV611 CIE NUR�RE BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY �P/sc412940 509241676 6 2 SYSCO INDIANAPOLIS, LLC i CARMEL IN 46033 4000 W 62ND ST .............. INDIANAPOLIS, IN 46268 4459 317-846-7431 D E AY 4 WEEKS AFTER QRDER 7f— 1)4Hbbb NORMAL DKI-TVERY CITY OF CARMEL MA* Nllq--CARY T.EVFRENZ 1 CIVIC SQUARE DRIVER: -B-U-CH-ANANGEORGE CAR T. IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. ::UN fT 40 I TE. % �KTSNDED..... :QTY OA ..:.SIZE 6 CmOTION :C0 T 1+::::: PRiCEI.* GROUP TOTAL*x"TW-- -499.57 . .... ... ... XX ... ... .............. ........ C . .... ..................... ...................... ... .-. ...... I .................... ... ....... ......... ....... . ....... ........ . . ................. .... .. .. .................. . 619::.4,0:00,873:...::39+++:*.:8,:7:::: ::::::,39:.:8:7�1:��i': --- ----- --------------...... BEAR BAKED BEAN POT: ....... .......I ................ ... ......... ... ..... .................... C 8 ----- -- ----- xx.: '.q .. ...... .. .... ----------- C ............... 18 5 6 0.. 6 08 08 7 1 :3 MuL Hlk+�.�POTATO . ............ 2: 47 864. -x :::x 2.6-4 1: CS 2 3.0.:.:c,T::: k +�+E+TY,..,:::BKD.:, &:':�TOPPED: .:424+9 Al CHIR�V).Rl :6 :::25+917 26A+: ............. ....... .................. ..... ;:="': .. A Y �1�11 i� CS 160 CT::: S: HIP:::VA I SYSCO/FOLTO: Lk,+Y::::: :318 3 1 &5867.21:::::::..Z5:::`62::. iSt.:�:�REC.:�;KETCHUP.,.,.++5,QUEEZE.,,BTL... .... 17:21:8 :2+.* .87:+: .26 :81 916: 7 ............... .. .... ...................+.-.-.-.+++-. ......... .... ........ j*/++ ........:..2: CS 13 5:::::LB� 3 YS...:.RE L:+.S HORT EN ING,:FRY.::::LI Q CL R:,+:,.:,2:TF�,:':+:.:.:':.:.:.:::::::::: 1040.52, 1E. 1.518403 :'::;112'9::88:- w5:9::+.:76. .. .. .... .. ...... . ...... :42 19 x ::�:4::0:5:9:3:::::::::I+:.3:7:2 558:114 2,19 JxC :::: :::1:2 1:::::l:9: 58PLCLS SNACK MI 4: . .. . ...... . GROUP TOTAL"" 268.65 .... ............ .... ..... *:*:::>::: : PER:... .:::DT� i�: SPOSABLF, :.*** ............ . ......... ................ ........ . .... ...... . ... ...... .. . ..... ......... ............... :9 7 C S:::::::::::::l2 8:0:.:::CT:: SY 5--REL CUP:.:PLAS:+++..TRANS I 60Z+.:SOF T. ::::,:YEl:60STS::::::7:3:58:3:0:4::::::::.+:++:+7:6:.:+:: :6+...76....98 : :"::::.:::;" ........................ CS .. .... ..... +: .... ..... .....- --D 12 2 IGSHT SYS+.+.+.CLS::TOM:' KITCHEN9XII 2��j JMBO ...�..41:9.5 .1992.603 .::::2.9:::94.::: :»11;.::112:9.94': ::: :11::.: .. .. ..... GROUP TOTAL 6.:§2 D +U ................. :: X.-4 . U. .. .... X . .... .....- C� : -... . --- ., `:=>;:;-:: ::> ::.;<> ';::. ::< :: --- --- .08 ..S 2 5::::UP.......3BRLIMP SALAD CHI.CKEN++ 2: :10717 .. .. .... ...... ------------- 0 A ........ -------- X+: T T 2.01:00:1::::.6733 - --------------- le++ I SCS:+ + 0 166::::::::::3:9*4:0 . .. ......... ..... . ........ 5Z� ............ ++::: Y .. ..........-- -------- - I FC::::+::::::::+::l 5X6-.... SYS, IMP TOMAT:O:+:�J.:..LAYER-FRESH:::::::: 10*08:63.0 17 -- --------------- ... ..... ............ GROUP TOTAL***"*" 98.08 .. ..... . ....... ........... X ....... k DI+SPENSER- **:++ F: ...... . ..... ....... ........ ...- .. ......... CS :::+ I 2::.5GAL3'LDPEAK:.::::S YRUP:1�'IEK�CONC:�UNSWT:: PREM:.:.::::+::::,:.:':::::::::: :�0+2:2 5 0 2 98 70657:76 ::::.:::+4:1 w+:39 41++.': . ............... GROUP TOTAL* 41.39 -X+:`::::+::-::: --------- ... �'HG$�FO CH RG GE S: : R,Fl .... ... UEL..:.SURCHARG ......... -------------- X. ....... ........................ x... .............................. X .......................... ....... . .. .... ... . ..... x... . ... 8........ ...... . ORDIR SUMMARY 75678...... ....................*..+:::::::::::+::, X. .............. ... ... ..... -X ...... .... ...............................++++++++.++ ... .... .............. ...... ILII-acz- rI IRF: OPEN: •1�1)U AM N r C AqF:q �Pl IT LOSE: UT P.O. BOX 7137 TFkM�§: FRIDAY S 2 1E 15 20.9 296 INDIANAPOLIS IN SUB PERISHABLE PRODUCTS,,A H206-7137 TOTAL IMPORTANT INV CIE NOT ELIGIBLE FOR RETURN AFTEF 1419.02 DE �LEA HAVE ,WE WILL NOT RECEIVEE ONSIgLE VERY �,E CHECK T l E OL a v 3C 3 33 37.1 DOR ANY'SHOR,AGE AFTER GNED. PIECES MU T TAX ArRFF WITH P FQPq DRIVER'S INO, PCs CUST. NO. PCs TOTAL o' DELVD. I SIGN - I REC.SIGN F p�� E� R �Ll" j �� - INVOICE 1��%PRRG IT CIL Cll� AY ��YTIJAj �fiT ACfRYP R1�8TSR? TOTAL 1419.02 H C M 1 1 R TAllAT%U�TLA, fiVR H INVNTj FOOD OTHER , S PAYABLE ON OR BEFORE0/23/15 LAST PAGEIDERIVED FROM THESE COMMODITIES, AND A FROM COMMODITIES UNTIL l o FULL PAYMENT IS RECEIVED. 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)) 09/24/15 509241676 Food $1,419.02 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 Sysco Indianapolis LLC IN SUM OF $ PO Box 7137 Indianapolis, IN 46206-7137 $1,419.02 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I 509241676 I 42-390.40 I $1,419.02 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, September 25, 2015 Director, Brooks re Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things om come from BROOKSHI RE GOLF CLUB+++ a®� 1/ �u$ tiMEfl 12120 BROOKSHIRE PKWY / CO'�+ TFC CK S.pP; 412940 510011554 1 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST RnuE; INDIANAPOLIS, I 4 ,:,,', ':;: ;::>'::::>:::>':::%:>:::::::<:::>:::>:: :,.:>.:. ..>,:::;:;..>::.. ::;:<::>: .:: :;> . , N 6268 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER I— 54903b NORMAL DELIVERY CITY OF CARMEL IA 1 CIVIC SQUARE DRIVER: TH MA , DWAYNE CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE ......�..�:. ... .. ..':. : .:. :;iiRii:i:ii:i:ii:i:i::i:`. .:'::;s::. .:::i:::::z::il::.. ..:..: :. -.:::..:.:::i:. ,i': iq.; USTIMENT Q.TY :.: :; . P.,'AC SIZE. :.»>:::::<;s:;<<:;:;:;;:;: ;;::>::.:.:;::>::>:>:::>;,:>::>::>:: .. RIRTIO r.... o:F F.ENF:59>::;:::.';:::UN.f F .;::....::;EXTENDED:.: ...:::: O{]EkC. ,:: t 5 GAL:: OCACOL:' ,..: : K `; :> '< . SYRUP. CO. CL IC' SX1::`:BI:B : :'?"> 25 :,:4090. : : ::_:;. ::;-:>:: ::. >::.' ::::::.::> ............ . .... . ............... ....GR _.. ........ S.S **�* 4 1Q.... 59..3. :.:7:x,..12:::::, 71..12 OUP TOTAL 190.18 MI S CH kRGE S. HGS:::::T0R FUEL::::::*::SURCHA >:>::>. :::.. : :::::. RG E......... ORD 8.21.5.5::::::: .:.... ................... ..................:..... . .......... :::. XXXX Kwx N P.O. BOX 7137 1 •8 54 INDIANAPOLIS IN SUB IMPORTANT: PERISHABLE PRODUCTS ARE NE ELIGIBLE FOR RETURN SS ggAFTE 46206-7137 TOTAL 746.20 2 5 27 14.5 496 ORI ANV SHOR AGE AFTER YIOU A�IE ESIGNEO IPIECES BE RE MUSTE TAX NO. PCS CUST. NO. PCS TOTAL DRIVER'S DELND. SIGN R SIGN REC. INVOICE oAUTHOPRSEHpA TO LTSUIR Lp�O7M{{MEOD IEgS�LgI gL E[aGRp�ryC 1�TL RIgNLV�IOCMEMApf�tJTlgEgLpgCUBJEg C37p TOU S7�{CE gg�gAE77(u OFiYH E7RgUEgLT�E p TOTAL 746.20 J THESE COMMODITIES {��jAINCS�A TRUS T PrL�IMAO`/ R THESE L�OMMODITIE S, ALL IfJVENTOIRIE S�70 F'FO'oD ORCTHIER PRODUCTS PAYABLE ON OR BEFORE 3O 15 I DERIVED FROM THESE COMMODITIES. AND ANV RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 1 / / LAST PAGE o FULL PAYMENT IS RECEIVED. " I� Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO .... ...... ... .. ....... come from ... ..... .......... .. ..... .......*�::jNV61+65:NUMU BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY b-)/S c TR 412940 510011554 1 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST j��:j .d I.:: ::7777� INDIANAPOLIS, IN 46268 44.46 A:R+F 317-846-7431 DUE FRIDAY4 WEEK AFTER ORDER NORMAL, L)ELTVFRy CITY OF CARMEL ERENZ 1 CIVIC SQUARE DRIVER: TH MA DWAYNE ARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. PAC S QTY- EV�DE + :J:.: X:... ... X ;PFFECTIVE 7/01 15 SYSCO INDIANAPOLIS WILL NO LONGE ACCEPT CASH—AS A FORM OF RAYMENT. :::::::::kS:K�`YQUR:MA TO :::-:1) A I L :�xx:1 ....tT..... X . .......... 5:LB: +::+: 8pt++IS ' R +++:.+:.AtS 4K+ METXI .. ..... 6 :92: 113:7::7+::3::6::::::::�: 8 :568650 .7: + +2AD + ............ -27 f BNLS��HMSTY:::��: CO: -27:1: 4O I.GROQP+ TOTAL ........... .156.07 ...... k** CANNEDDRY:::* *+ CT...... CA ... . . WAY:: .8617712:4:++:+9:T: :: 7 —:X5 , 49. X X DNL N 2 4 CT 4ERSHEY:CANDY BAR PAY DAY:::::::::. 8072T 703:04: 4::.:+:.:+:l7-b.:-b9:9:.:.:: :::::::J:7:::99 XX DNL: 18 CdT::::::5)Nl.+,C+K.ER..CANDT�.:BAR:SNICKEWli:.8.6.. O.Z :::::::: 2:564:7.9., 17,938::3: .::::::::::3:2:::::5:9::::::::::, : 3: :5 9, L"< NSCTARS. CANDY::::B : :::: KETEER 422.08 17:611:5::31:::::::::::2: 9,8 98 d d............ ..... . --,-C .1 S DNLY 3 6 CV:�:&M ::::::::::CA:4ND..Y:,..SKI+TTLiE� FRU+I:T::::CHEW::::24:17Z..... 0" 2 5- 2T XXXX ....... X. RNOLD &LKER:::::+L:I:TE:,--.. 05a549a6:8:*:::+:,I:b4b:.94:::: :::::&9.:64::.—.— CUT::::::KQ.:.:.:d:.:.:::.: xxx. 29:65da:2:7�0::7,1,5�6,::10:281�9: 9.:::::..3 X.. 3: : 92. .......... 290 1 : CS::::5009 WEET PXT: ... 7.809:05:88 16.0 9 0 6 %.. .......... R. -3 25:: PURL I T& WkTER:�i�ii�Pl ..J.RlF:IED:: 1476 57:12: H 47 'GROUP TOTAL**** 4:9 .......... :::::::::::::::::::.::..PAPER.. ...... ...... ..... ... .... ... X X C S 8 0 0 FT 71:0&��lR� `4 +—5Eo NEL::::��ROLE�� ENM0 -AUT 9:6:27+++T6d:l::,,::::::7' 4 :48 RG,,PaTO .......... GROUP AL** .18 :, ,: X... ....... ................ . ....... ............. +-+++,............. .......... PRODUCE .......... d....... .......... ..... ..... C . .9 I FRES -:XXX C S 5:: :LB:::::::::5Y.: JUMBO .......... .. ..... .... .. ............ ........ .......... RED:. GROUP TOTAL* S COFF-EE: FR:+Z,: Q9 :P0 MBN:.:,+'.:."' :, :�:a+',.:i:::-:,1002b5.5.O.Ob6:2:2::06dl2.2-:16+++O,,4, [11:906:::: :, 6+ j XX N rAOF:r rPj IT OPEN: / :U 2:00 PM v TnT PrC I rPnCC XAIT P.O. BOX 7137 A 21 5 26 13.7 442 INDIANAPOLIS IN SUB RIMPORTANT: PERISHABLE E , FE , SHABLE KPRO DUCTS ARE NOT ELIGIBLE FOR RETURN �AFT EH206-7137 TOTAL EOR ANY.SHOA AGCHECERH UHAVIE E,,GWEWIPIECES RECRIE DM� TE TAX DRIVER'S NO. PCs CUST. NO, PCS TOTAL SIGN DELVD. SIGN REC. INVOICE o THf��V.I�g'A IS T R TOTAL COMMODITIES L 0 OP 'C 'IC �l Cy U 0 og�@ 'T C)F �1'01j; PAYABLE ON OR BEFORE TnH T Jqg gLkj�bA�%�?�PC R'AN . �2,? . '01 THESE A R ALP"Id'0 S( PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL o FULL PAYMENT IS RECEIVED, ONT. ON PAGE 2 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)) 10/01/15 I 510011554 I Food I $746.20 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 Sysco Indianapolis LLC IN SUM OF $ PO Box 7137 Indianapolis, IN 46206-7137 $746.20 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I 510011554 I 42-390.40 I $746.20 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 Friday, October 02, 2015 Director, BrookshirWdolf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund