260018 06/28/16 q�% 4�p'; CITY OF CARMEL, INDIANA VENDOR: 365410
® I ONE CIVIC SQUARE BRIAN BALLARD CHECK AMOUNT: 5"""1,890.00'
s. �; CARMEL, INDIANA 46032 28 WEST EVENING ROSE WAY CHECK NUMBER: 260018
9.y,�TON � WESTFIELD IN 46074 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 06202016 1,890.00 ADULT CONTRACTORS
Voucher No. Warrant No.
365410 Ballard, Brian Allowed 20
12120 Brookshire Pkwy
Carmel, IN 46033
In Sum of$
$ 1,890.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-35 6/20/16 4340800 $ 1,890.00 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 22, 2016
IPAMLW��
Signature
$ 1,890.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
�o
BROOKSHIREo
n 4
• LF CLUB
oF
Invoice No.
B o kshi�ub RECEIVED Bill.To Carmel Parks and Rec
12120Wrook hir-e Pakwy Address
JUN � 02016
Car33
317.846.7431 BY:
brookshiregolf.com Phone
E-Mail
Purchase Q
Description
P.O.# 519 13 p o.,D Deposit Received 0.00
G.L. # �ay(�-�5-�Y5o�o OCD Invoice Subtotal i
Budget �c� Tax $0.00
Line Descr n
Purchaser Date Invoice Total if 14
Approval Date!o f�/((� Total Amount Due : •
I ` Amount Paid $0
Date Description
,)unen201h;-2x1.5 June Beginner Junior Clinic
21 Juniors @ $90 " " :1`;890x0;0,
< IR.
7r
tease mare check payable to ;BnariBallad
Deposit
Tax Food and Beverage @ 8%1
Tax on Cart@ 7%
Amount Due
Subtotal
Tax i
GRAND TOTAL Is
Tax Exempt #
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