HomeMy WebLinkAbout325847 05/30/18 c,/w.&�A,y�i
CITY OF CARMEL, INDIANA VENDOR: 358941
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ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COU�IUECK AMOUNT: $.....***79.41
s. ?Q CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 325847
*;roN CHECK DATE: 05/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 29.94 FOOD & BEVERAGES
1207 4355300 49.47 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20
Vendor# 358941 ACCOUNTS PAYABLE VOUCHER
PETTY CASH -BROOKSHIRE GOLF COURSE IN SUM OF$ 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
$29.94
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
Speedway 42-390.40 $29.94 1 hereby certify that the attached invoice(s),or 5/24/18 Speedway Ice $29.94
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, May 24,2018
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Prescribed by State Board or Hccounis -y• •^ - - --
VOUCHER NO. WARRANT NO.
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 358941
IN SUM OF$ CITY OF CARMEL
PETTY CASH -BROOKSHIRE GOLF COURSE
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
$49.47
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Brookshire Golf Course
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
Permit for Porter 43-553.00 $49.47 1 hereby certify that the attached invoice(s),or 5/21/18 Permit for Porter Permit for Markus Porter Sr. $49.47
Sr. Sr.
1207 101 bill(s)is(are)true and correct and that the 1207 101
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 21,2018
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
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: 21 May 2018
Applicant Name: Markus Porter, Sr.
License Number: Pending
Agency: MLO
Process: Apply for Initial License process
Payment Information
Authorization Code: 279664
Received Date: 5/21/2018 12:12:17 PM
Transaction#: 88813060
Credit Card Number: XXXX XXXX XXXX 6072
Fee Amount: $45.00
ServiceFee: $2.50
Instant Fee: $1.97
Total Fee: $49.47
SITEDWAY 0008041-Fishers,IN
X235 :: 11Cth St 46038 2301
(3'17)913-1293 :i/�4/2018 8:37:09 AM
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5 ICE: 22..1:3 EIP(a SIP"LE 29.94
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Sub. Total: $29.94
Tax: 930.00
$29.94
a:31.1 $40.00
-�h l"19e $10.06
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