319616 12/12/2017 u `4q
CITY OF CARMEL, INDIANA VENDOR: 358941
ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COURIgECK AMOUNT: $..... 161.84`
CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 319616
CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER . INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 MEIJER 112.37 FOOD & BEVERAGES
1207 4355300 VEACH PERMIT 49.47 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 358941
PETTY CASH-BROOKSHIRE GOLF COURSE IN SUM OF$ CITY OF CARMEL
C/O PAM LISTER 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.
Payee
$161.84
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
Veach Permit 43-553.00 $49.47 I hereby certify that the attached invoice(s),or 11/28/17 Veach Permit C Veach Permit $49.47
1207 101 1207 101
Meijer 91-239dq4l $112.37 bill(s)is(are)true and correct and that the 12/4/17 Meijer Sundries for Banquet Room $112.37
1207 101 materials or services itemized thereon for 1207 101
which charge is made were ordered and
received except
Monday, December 04,2017
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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Licensee: CHRIS VEACH
License Number: BR1676588
Authorization Code: 046552
Received Date: 11/28/2017 11:10:03 AM
Transaction ID: 81885206
Credit Card Number: XXXX XXXX XXXX
6072
Fee Amount: $45.00
Enhanced Fee: $2.50
Instant Fee: $1.97
Total Payment: $49.47
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