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Home My WebLink About251216 11/04/15 Q CITY OF CARMEL, INDIANA VENDOR: 358941 ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COURIJECK AMOUNT: $••...•""62.24• CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 251216 CHECK DATE: 11/04/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 12.77 FOOD & BEVERAGES 1207 4355300 49.47 ORGANIZATION & MEMBER CLUB MANAGER RYAN SIMPSON (317) 585-1619 INDIANAPOLIS, IN 10/24/15 13:40 5716 00168 005 2251 RICHARD VASIL E 499933 DCELBOUS F6.40 N SUBTOTAL 6.48 CASH TEND 10.00 CHANGE DUE 3.52 Uisit 6ensclun.con to See Your souin9S # ITEMS SOLD 1 TC# 8604 1126 3704 7409 7481 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII IIIIII IIII Please tell us about your shopping experience http://www.survey.sameclub600m 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.entry.survey.samsclub.00m_ Sweepstakes period ends on the date shown in the official rules.Survey must be taken within TWO weeks of today. Esta encuesta tambiHn se encuentra en espanol en la p6gina de Internet. Happy to Help 1urjurzulb Weicome to Indiana Licensing O17Ah6 LI'C217Sff7 Payment Receipt This page serves as your receipt for this transaction. Your payment will appear on your credit card statement as "STATE OF IN WWW INGOV 800-236-5446 IN". New Application • Completion of Server Training is required within 120 days of issuance of this permit. Click here to complete Server Training online • A BMV Operating While Intoxicated (OWI) Check is preformed on every application prior to issuing a permit. Please allow 24 - 48 hours to complete the check before your permit will be issued. • You may print this receipt and use it to work for 60 days, or until your new permit arrives in the mail. • This receipt must be printed now. You will not be albe to reproduce it at a later time. • All permit application and renewal fees are now non-refundable. Payment received - thank you. Licensee: Veronica Garcia License Number: Pending Authorization Code: 901076 Received Date: 10/30/2015 2:19:20 PM Transaction ID: 50071050 Credit Card Number: XXXX XXXX XXXX 3362 Fee Amount: $45.00 Enhanced Fee: $2.50 Instant Fee: $1.97 Total Payment: $49.47 Print"Receipt MvLicense Home Logout httm://mvlir.PnsP.in.nov/F(env/PavmPntRaGitlt.asnx?answar=nroraceaiRrrarlit card numlwr=:i.9fi9R11ranca id=29ffl93BRnrcx:Pa.q=ann&instant faa=1 97Rfrp amnijnt=49.47 112 VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF$ $55.95 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1207 Sam's 42-390.40 j $6.48 1 hereby certify that the attached invoice(s), or 1207 IN Online 43-553.00 $49.47 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 30, 2015 Director, Brookshir olf 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)) 10/24/15 Sam's Food $6.48 10/30/15 N Online Licensin Permit Garcia $49.47 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer f r MWHOLESAU18 Cast Ica tcon #396 6110 East 861h st, Indianapolis, IN 46250 - 7V Member 111750046399 6.29 E 654650 BROCCOLI SUBTOTAL G.29 TAX 0.00 * * TOTAL i WWIOl CASH 10.00 CHANGE TOTAL NUMBER OF ITEMS SOLD = 1 A' ��K�k-U# P 19:00 346 13 318 50 OP#: 50 Name: PRASAD Y Thank You ! Whse:346 Trm:13 Trn:310 OP:50 •, VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF$ $6.29 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I Costco I 42-390.40 I $6.29 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 i Wednesday, October 21, 2015 Director, Brooks ' olf Club Title Cost distribution ledger classification if g I claim paid motor vehicle highway fund 1 li o 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)) 09/23/15 Costco Food $6.29 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