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Home My WebLink About325973 06/05/18 (9, CITY OF CARMEL, INDIANA VENDOR: 358941 ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COURIIECK AMOUNT: S*******362.87* CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 325973 CHECK DATE: 06/05/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 180.29 FOOD & BEVERAGES 1207 4355300 182.58 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 $83.64 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 Permit 43-553.00 $34.17 1 hereby certify that the attached invoice(s),or 5/30/18 Permit Permit for Sarah Cremer $34.17 1207 101 1207 101 Permit 43-553.00 $49.47 bill(s)is(are)true and correct and that the 5/30/18 Permit Permit Jonah Smith $49.47 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Wednesday,May 30,2018 14 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 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 May 2018 Applicant Name: Jonah Kinnick Smith License Number: Pending Agency: MLO Process: Apply for Initial License process Payment Information Authorization Code: 616198 Received Date: 5/30/2018 1:36:11 PM Transaction#: 89212614 Credit Card Number: XXXX XXXX XXXX 6072 Fee Amount: $45.00 ServiceFee: $2.50 Instant Fee: $1.97 Total Fee: $49.47 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 May 2018 Applicant Name: Sarah Rose Cremer License Number: Pending - Agency: MLO Process: Apply for Initial License process Payment Information Authorization Code: 310990 Received Date: 5/30/2018 11:53:44 AM Transaction#: 89206062 Credit Card Number: XXXX XXXX XXXX 6072 Fee Amount: $30.00 ServiceFee: $2.50 Instant Fee: $1.67 Total Fee: $34.17 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 358941 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PETTY CASH -BROOKSHIRE GOLF COURSE IN SUM OF$ 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 $98.94 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 Kevin Roth 43-553.00 $49.47 1 hereby certify that the attached invoice(s),or 5/30/18 Corbin Clark Permit $49.47 1207 101 1207 101 Corbin Clark 43-553.00 $49.47 bill(s)is(are)true and correct and that the 5/30/18 Kevin Roth Permit $49.47 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Wednesday, May 30,2018 62 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 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 May 2018 Applicant Name: Kevin Roth License Number: Pending Agency: MLO Process: Apply for Initial License process Payment Information Authorization Code: 628282 Received Date: 5/30/2018 3:47:01 PM Transaction#: 89221240 Credit Card Number: XXXX XXXX XXXX 6072 Fee Amount: $45.00 ServiceFee: $2.50 Instant Fee: $1.97 Total Fee: $49.47 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 May 2018 Applicant Name: Corbin James Clark License Number: Pending Agency: MLO Process: Apply for Initial License process Payment Information Authorization Code: 530498 Received Date: 5/30/2018 3:15:04 PM Transaction#: 89219122 Credit Card Number: XXXX XXXX XXXX 6072 Fee Amount: $45.00 ServiceFee: $2.50 Instant Fee: $1.97 Total Fee: $49.47 VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 358941 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PETTY CASH-BROOKSHIRE GOLF COURSE IN SUM OF$ 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 $180.29 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 Sam's 42-390.40 $73.54 1 hereby certify that the attached invoice(s),or 5/27/18 Sam's Food $73.54 1207 101 1207 101 Market District 42-390.40 $106.75 bill(s)is(are)true and correct and that the 5/28/18 Market District Food $106.75 1207 101 1 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Thursday, May 31,2018 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer MARKET DISTRICT EVENT--PLANNING 11505 N. Illinois St, 317-569-0171 Carmel, IN 46032 Your Cashier Today was VIRGINIA L GE FS REG CUT FS .AC 3.99 F GE FS REG CUT FS AC 3.99 F GE FS REG CUT FS AC 33.99 F FRUIT DIP 9.79 F FRUIT PLATTER 89.99 TAX _ 0,00 **** BALANCE 106.75 MASTERCARD 106.75 * * CARD # ************0617 *** REF # 180596922551 . AUTH # 13068P *** ENTRYMODE: SWIPED (Electronic Sisnature Taken) MASTERCARD 106.75 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD = 5 05/28/18 09:65am 6650, 66 3 1054 CARD # ******65611 **Today's Discounts/Savinss** +++++}++++++++++++++++++++•f++-h++++++++ PERKS EARNED TODAY 106 TOTAL PERKS AVAILABLE 253 Save on Food Save on Fuel 10 . 0% OR $0 . 70 at Market District /sal at GetGo -xYou can redeem up to 20% in a sinele transaction. You are 47 PERKS away from earnine eour next reward. ++++++++++++++++++++++++++++++++++++++ Discounts ExPirins 05/31/18 fuelperks+ $ off fuel (per sal) 0.00 OR off fond 0 **12 Month Savinss** (as of 1st of this month) from fuelperks! 12.68 Weekly Specials 243.65 TOTAL 12 !MO SAWENGS $256 . 33 YOUR OPINION MATTERSI Tell us about your experience for a chance to win a $2000 Market District G1ftCard Go to www.MarketDistrictListens,com Survey accessible via mobile phones Enter Code: 6550066 0003 1805280955 Customer Care Center # 1-866-620-0216 Monday - Friday 9 AM - 9 PM CLUD 11ANAGER RYAN SIHPSOH ( 317 ) 505 - 1619 INDIANAPOLIS, IN 05127/10 10:19 10155 00160 006 2534 KATHY E 473000 ARAPE- !'OHfifF 4.90 H E 473000 GRAPE 1'OHATF 4.96 H E 010937 CUCUHDERS F 3.90 N E 403303 11011HUS F 5.00 H E 900061254 CAULIFLOUERF 3.90 N E 900061254 CAULIFLOIIERF 3..90 R E 203941 11INI CARROTF 3.90 N E 203941 111KI CAOROTF 3.90 N E 203941 111111 CARROTF 3.90 N E 749972 STRAOURRY F 2.90 N E 749972 STRAUOERRY F 2.90 N E 59046 HULTI PEPPEF 6.90 N E 749993 HUSHROOHS F 3.90 N E 749993 HOSHROOMS F 3.90 N E 600643 CELERY F 2.40 N E 600643 CELERY F 2.40 N E 504331 BROCCOLI F 3.90 N E 504331 BROCCOLIF 5.90 N SUUTOTAL 13.54 o!1fW.. F3 54 HCARV 1111G ;.4 HasterCurd � k Ufi1 t 2 APPROU111. R ''/11133P AID A0000000041010 TC 5BEC407410Cf.1:307 TERMINAL. R SCO10505 / ANO SIGNATURE REl1U1RE11 CHANGE DUE ��OO Hew! Free shiuvino for Plus ner" lbers. Learn nure: semsclub.runitrueshiuhina Uisit Sansalub.r.un to see your seuinss ITENS SOLD 1 TO 2.110 7243 1793 3402 0367 1111111 ILII II III VIII IIID Ill 1111 IIIA III II ILII II I II III II III II II III III I III II 1111 Happy 'to Help nig HEHOER COPY