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Home My WebLink About300355 07/14/16 4a u!._C�gbF �/ � CITY OF CARMEL, INDIANA VENDOR: 358941 ONE CIVIC SQUARE PETTY ASH -BROOKSHIRE GOLF COUQUECK AMOUNT: $....... 61.68' s�\ /a, CARMEL, INDIANA 46032 C/O PAM ISTER CHECK NUMBER: 300355 a,,�;oN CHECK DATE: 07/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB R AMOUNT DESCRIPTION 1207 4355300 BRADBERRY 34.17 ORGANIZATION & MEMBER 1207 4239040 MARSH 27.51 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) PETTY CASH -BROOKSHIRE GOLF COURSE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O PAM LISTER IN SUM OF$ 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. $34.17 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 Bradberry Permit 43-553.00 $34.17 1 hereby certify that the attached invoice(s),or 7/6/16 Bradberry Permit Permit Bradberry $34.17 1207 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 Wednesday, July 06,2016 r 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 Welcome to Indiana Licensing Page 1 of 1 Ind k ,. L+ 4 ' a Onlllae.L�cen i ► Payment Receipt This page serves as your receipt for this transa tion. Your payment will appear on your credit card statement as "STATE OF IN WWW INGOV 00-236-5446 IN". SERVER TRAINING IS REQUIRED BEFORE HIS PERMIT WILL BE ISSUED • Click here to complete Server Training online • A BMV Operating While Intoxicated (OWI) C eck is preformed on every application prior to issuing a permit. Please allow 24 - 48 hours aft r completing Server Training for the check to be completed and your permit to be issued. . You may print this receipt and use it to wor for 60 days, or until your new permit arrives in the mail. Payment received - thank you. Licensee: Andrew Peter Bradberry License Number: Pending Authorization Code: 001212 Received Date: 7/6/2016 12:12:32 PM Transaction ID: 63722728 Credit Card Number: XXXX XXXX XXXX 815 Fee Amount: $30.00 Enhanced Fee: $2.50 Instant Fee: $1.67 Total Payment: $34.17 PnnfiRecei'pt :7 MyLicense Home Logout https://mylicense.in.gov/EGov/PaymentResult.asp ?answer=processed&credit card numbe... 7/6/2016 VOUCHER NO. WARRANT NO. Nrescnoea oy state Boara otHccounts City Form No.201(Rev.1090) PETTY CASH - BROOKSHIRE GOLF COURSE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O PAM LISTER IN SUM OF$ 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. $27.51 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 $27.51 1 hereby certify that the attached invoice(s),or 7/8116 Marsh Food $27.51 1207 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 Friday,July 08,2016 l hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer on bab,g Product's with yOUr Fresh IDE:►h Card or Mainstreet Reward Card Your current balance is 3EdEaE�f3'r#ifiE1f.�fXifj::l•*3',3E i:fifit stif3fHNI43;**#aEaEI?E With -dour Marsh Frush Tcle>a Card Ynu saved 50.00 i.n 2015. You have raved $92.01 in 2016. Marsh Fresh IUFR Card require-1 For all. offers. epls4np peauepedx3 nOA JLNVM 3M 2 rwvvladW'91/9l/9 sa dx3'slunoosIp impo 4pM peen loN'spelap rol rabouaw aag•sapigan lsayy - i 0 olnr a + T 0 99se-LO-008 0 KNOW a SMI 000`00 ME ssimisne MA 9silbAAae u i "� „doh uo �.ua4� 0 4�iN►:,