HomeMy WebLinkAbout325919 05/31/18 Q�i Coq
ey*. CITY OF CARMEL, INDIANA VENDOR: 358941
ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COURMECK AMOUNT: $*****""*49 47*
?� CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 325919
.,'iroN"�° CHECK DATE: 05/31/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 49.47 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 358941 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PETTY CASH - BROOKSHIRE GOLF COURSE IN SUM OF$ 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
$49.47
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
P Lister Permit 43-553.00 $49.47 I hereby certify that the attached invoice(s),or 5/24/18 P Lister Permit Permit P Lister $49.47
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
Renewal Submitted
Your renewal 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.
To renew another license, click the License Home Page link on the left menu.
Employees are valid to work using this receipt for 90 days from the date submitted.
Renewal Information
Date Submitted: 24 May 2018
Applicant Name: PAMELA L. LISTER
License Number: BR1596215
Agency: MLO
Process: Renew License process
Payment Information
Authorization Code: 661259
Received Date: 5/24/2018 12:16:08 PM
Transaction#: 88976566
Credit Card Number: XXXX XXXX XXXX 6072
Fee Amount: $45.00
ServiceFee: $2.50
Instant Fee: $1.97
Total Fee: $49.47