HomeMy WebLinkAbout259876 06/24/16 (9, )
CITY OF CARMEL, INDIANA VENDOR: 365410
ONE CIVIC SQUARE BRIAN BALLARD CHECK AMOUNT: $"";'1,260.00`
CARMEL, INDIANA 46032 28 WEST EVENING ROSE WAY CHECK NUMBER: 259876
WESTFIELD IN 46074 CHECK DATE: 06/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 061316 1,260.00 ADULT CONTRACTORS
Voucher.No. Warrant No.
365410 Ballard, Brian Allowed 20
12120 Brookshire Pkwy
Carmel, IN .46033
In Sum of$
$ 1,260.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1096.35 6/13/16 4340800 $ 1,260.00 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
June 16, 2016
Signature
$ 1,260.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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BrookshireitGolflClub �,; Bill To.
Address
12120�Br�ookshire,t?kwy . JUN 15 2016
Carmel;,�IN'4;6033•� �
317.846.7431 —- ----
brookshiregoif.com Phone
E-Mail
Purchase
Description 6"-4 Y �
Deposit Received Q' 00
P.O.:# 93 w p oCDF
G.L.# lov&- 3s- 3 YS-0yo Invoice Subtotal
Budget Tax $0.00
Line Descr.
Purch .30
aser Date , ,� Invoice Total
Approval n Date D c [(p Total Amount Due S11, 260.00
Amount Paid : . : ,$0.
Date" Description Amount
=16/13f=0116" d 14 players at 9 $1260.00
t i
� Please make check payable to Brian Ballard
Deposit
Tax Food and Beverage @ 8%
Tax on Cart @.7%
i
Amount Due
Subtotal
Tax woo
o
i
GRAND TOTAL •
Tax Exempt #
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