301903 08/18/16 CITY OF CARMEL, INDIANA VENDOR: 365410
Vii•; ONE CIVIC SQUARE BRIAN BALLARD CHECK AMOUNT: $*****1,530.00*
CARMEL, INDIANA 46032 28 WEST EVENING ROSE WAY CHECK NUMBER: 301903
WESTFIELD IN 46074 CHECK DATE: 08/18/16
ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 080216 1,530.00 ADULT CONTRACTORS
Voucher No. Warrant No.
365410 Ballard, Brian Allowed 20
12120 Brookshire Pkwy
Carmel, IN 46033
In Sum of$
$ 1,530.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. A.CCT#TTITLE AMOUNT Board Members
Dept#
1096-35 8/2/16 4340800 $ 1,530.00 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
August 10, 2016
Signature
$ 1,530.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
365410 Ballard, Brian Terms
12120 Brookshire Pkwy
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/2/16 8/2/16 Junior Golf Clinic 7/18-7/22/16 40406 $ 1,530.00
(Brookshire Golf Club)
Total $ 1,530.00
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
Clerk-Treasurer
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BROOKSHIRE pGOLF CLUB
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Inv ke No -Carmel Parks_an ec
hire=Golf-Clubs Bill To
�_____
01 2120 Brookshire=Pkvvy Address
�CartveE3IIV4.G®33:
317.846.7431
brookshiregolf.com Phone
E-Mail
Purchase
Description CM,4Qc ►-- yMm
P.O.# 993 Y P oDeposit Received 0.00
G.L. # D - CJ Invoice Subtotal I Be
Budget Tax $0.00
Line Descr
Purchaser Date��i����` Invoice Total i
Approval ` Date`krT'(,� Total Amount Due e
Amount Paid $0
DescriptionDate
Rug,2__d`20.16 _ 17 Juniors for Junior Clinic $1,530.00
amu.
ease make check payable to: Brian Ballard
Deposit
_ Tax Food and Beverage @ 8%
Tax on Cart @ 7%
Amount Due
Subtotal : S00.00
-Tax; $0. e
4 '
G12AIND T®TAI e
Tax Exempt # �-
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