259302 06/03/16 a`! CITY OF CARMEL, INDIANA VENDOR: 358941
j ® ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUAdjCK AMOUNT: $*'*****406.76*
x;; ?�. CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 259302
M��roN CHECK DATE: 06/03/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 052616 39.99 FOOD & BEVERAGES
1207 4239040 052916 241.98 FOOD & BEVERAGES
1207 4239040 053016 4.00 FOOD & BEVERAGES
1207 4350100 1341372 120.79 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
PETTY CASH -BROOKSHIRE GOLF COURSE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
C/O PAM LISTER IN SUM OF$ 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.
$4.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# . (or note attached invoice(s)or bill(s)) AMOUNT
O'Malia 42-390.40 $4.00 1 hereby certify that the attached invoice(s),or 5/30/16 O'Malia Food $4.00
1207 015 30 1117 101 1207 101
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, May 31,2016
r
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
W MALIA #206
4755 E. 126TH ST.
CARMEL, IN 46033
(317)844-4372
%4737 SNBM BREAD GNT WHT PC 1 .89 F
4737 SNBM BREAD GNT WHT PC 1 .89 F
4737 SNBM BREAD GNT WHT PC 1 .89 F
4737 SNBM BREAD GNT WHT PC 1 .89 F
** * TRX .00 BRL % 7.56
CUSTOMER NUMBER 40020008370
SC 1886 SNBM BREAD GNT WHT .89-F
SC 1886 SNBM BREAD GNT WHT .89-F
SC 1886 SNBM BREAD GNT WHT .89-F
SC 1886 SNBM BREAD GNT WHT .89-F
**** TAX .00 BAL 4.00
746 DT MT DEW 2LTR 1 .69 B
CL 746 DT MT DEW 2LTR 1 .69—B
**** TAX .00 BAL 4.00
CASH 4.00
CHANGE .00
TOTAL NUMBER OF ITEMS SOLD = 4
5/30/16 2: 15 PM 0206 02 0004 101
YOUR CASHIER WAS THERESA
YOUR SAVINGS TODAY
$ 3 , 56 ( 47% )
COUPON PLUS SAV-INGS _ 3.56
TOTAL SAVINGS (47X) $ 3.56
if ifitiF*if***itititit*ifIt-it itAit**it*if#itif.1ititit.'t --
THANK YOU FOR SHOPPING
O'MALIA
VISIT www.mar5[i.net FOR
eCOUPONS AND WEEKLY AD SAVINGS
Earn a $10
Marsh Baby Club
Rewards Coupon
when you spend $100
on baby products with
Your Fresh IDEA Card or
Mainstreet Reward Card
Your current balance is
$0 . 000
With your Marsh Fresh Idea Card
You saved
$193.50 in 2015.
�Youhave saved
.'-) 6.
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
PETTY CASH - BROOKSHIRE GOLF COURSE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
C/O PAM LISTER IN SUM OF$ 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.
$120.79 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT. Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
Tablecloths 43-501.00 $120.79 1 hereby certify that the attached invoice(s),or 5/25/16 Tablecloths Black Tablecloths $120.79
Factory Factory
1207 IN 101 bill(s)is(are)true and correct and that the 1207 101
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, May 25,2016
A �,/
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
5/25/2016 https://www.tableclothsfactory.com/Receipt PrinterFriendly.asp?OrderlD=1341372
Date: Order#:
05/25/2016 1341372
T, ab1e1c1o;'t'hsFACTU0%"' T.q •
Bill To:(Customer ID#334463) Ship To:
Pamela Lister Brookshire Golf Club
11598 Mansfield PI Pamela Lister
Carmel,IN 46032 12120 Brookshire Parkway
United States Carmel,IN 46033
3172017964 United Statics
Piliister@msn.com 3178467422
Payment Method: Shipping Method:
Credit Card:Visa Special Shipping Deal 7-10 Business Days
Pamela L.Lister
************8159
Code Description Qty Price Total
TAB-120-BU( Blade 120"Polyester Round Tablecloth 9 $7.99 $71.91
TAB 50120 BLK Black Polyester TableclothSW20" 7 $5.99 $41.93
Subbotal: $113.84
Tax: $0.00
Shipping&Handling: $6.95
Grand Total: $120.79
https://www.tableclothsfactory.com/Receipt_PrinterFriendly.asp?OrderlD=1341372 1/1
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PETTY CASH- BROOKSHIRE GOLF COURSE
C/O PAM LISTER IN SUM OF$ 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.
$241.98 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
Marsh 42-390.40 $13.31 1 hereby certify that the attached invoice(s),or 5/16/16 Marsh Food $13.31
1207 C>b pZ t 101 1207 101
Market District 42-390.40 $159,97 bill(s)is(are)true and correct and that the 5/29/16 Market District Food $159.97
1207 101 1 materials or services itemized thereon for 1207 101
Market District I 42-390.40 I $68.70 5/29/16 I Market District I Food I $68.70
1207 101 which charge is made were ordered and 1207 101
received except
Sunday, May 29,2016
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer