HomeMy WebLinkAbout324835 05/04/18 C.1q I
CITY OF CARMEL, INDIANA VENDOR: 358941` ,.
.�; ® '�• ONE CIVIC SQUARE
PETTY`CASH -BROOKSHIRE GOLF COURIJECK AMOUNT: $-*...*'*84.4
q, ,q CARMEL, INDIANA 46032 MO PAMLIST.LR CHECK NUMBER: 324835
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CHECK DATE: 05/04/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 84.42 FOOD & BEVERAGES
(DTARGET
EXPECT MORE.FAY LESS:
NORA PLAZA - 317-810-0044
04/26/2018 02:46 PM EXPIRES 07/25/18
1111111 N1
HOME
200062757 BEV SERVER T $25.98
212.99 ea
253050053 DIX E T $8.97
3 ® $2.99 ea
SUBTOTAL. $34.95
TAX EXEMPT SALE $0.00
TOTAL $34.95
XO617 MASTERCARD CHARGE $34.95
AID: A0000000041010
MasterCard
INDICATES SAVINGS
REC#2-8116-1848-0074-6547-6 VCD11750-255-547
Electronics recycling information:
http://www.in.gov/idem/recycle/2377.litm
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 358941 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PETTY CASH -BROOKSHIRE GOLF COURSE IN SUM OF$ 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
$84.42
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
Target 42-390.40 $34.95 1 hereby certify that the attached invoice(s),or 4/26/18 Target Plates $34.95
1207 101 1207 101
Ind Alcohol Permit 42-390.40 $49.47 bill(s)is(are)true and correct and that the 4/30/18 Ind Alcohol Permit Jeremiah Permit $49.47
1207 101 materials or services itemized thereon for 1207 101
which charge is made were ordered and
received except
Monday,April 30,2018
d/
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Application Submitted
Your application has been submitted and all fees have been applied to your credit card. Please print this page as
your proof of submission and receipt of payment.
Employees are valid to work using this receipt for 90 days from the date submitted.
Application Information
Date Submitted: 30 April 2018
Applicant Name: karrie Kay jeremiah
License Number: Pending
Agency: MLO
Process: Apply for Initial License process
Payment Information
Authorization Code: 275197
Received Date: 4/30/2018 2:12:39 PM
Transaction#: 87708378
Credit Card Number: XXXX XXXX XXXX 6072
Fee Amount: $45.00
ServiceFee: $2.50
Instant Fee: $1.97
Total Fee: $49.47