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Home My WebLink About326336 06/14/18 (��qMR� CITY OF CARMEL, INDIANA VENDOR: 358941 s GI� ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUQUICK AMOUNT: S****"*"160.38* :„ ;�� CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 326336 *.,To„�• CHECK DATE: 06/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 110.91 FOOD & BEVERAGES 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 $20.57 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 Classic Spirits 42-390.40 $20.57 I hereby certify that the attached invoice(s),or 6/2/18 Classic Spirits Ice $20.57 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday,June 07,2018 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer '" =" TO^33 7V1O1 - "^T T XV1 Ls^OJ 1118OS L8^T ]3I �8^T ]3I L8^T ]3I L81 ]3I L81 ]3I L8^T 331 L8^T ]3I WT 331 L81 ]3I WT 331 L8~T ]3I TOOOOO# 8T/3O/90 sI;Mlds VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 358941 PETTY CASH -BROOKSHIRE GOLF COURSE IN SUM OF$ 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 $90.34 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 $64.33 1 hereby certify that the attached invoice(s),or 6/8/18 Sam's Food $17.74 1207 101 1207 101 Sam's 42-390.40 $17.74 bill(s)is(are)true and correct and that the 6/8/18 Sam's Food $64.33 1207 101 materials or services itemized thereon for 1207 101 I Fresh Thyme I 42-390.40 I $8.27 6/9/18 I Fresh Thyme I Food I $8.27 1207 1 01 which charge is made were ordered and 1207 101 received except Monday,June 11,2018 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 t01f RMHAN MARKET' �r Healthy Food,Healthy Values. 14727 Fresh Thyme Market.Drive Carmel, Indiana (317) 975-7203 7a-10p Daily f reshtllyme,com GROCERY MED RP PTTD OLV 2.29 N F PRODUCE ORG BASIL 20Z 2.99 N F ORG BASIL 20Z 2.99 N F BALANCE DUE 8T CASH 9.00 CHANGE 0.73 Total number of items sold = 3 CASHIER NAME: Missy STORE:00207 REGISTER:004 CASHIER:0102 TICKET#:6237 9JUN2018 11 :52:59 *FreshthymeDelivers.com* Groceries delivered in as little as 1 hour See you next Thyme! i I Self Checkout CLUB MANAGER RYAN SIMPSON ( 317 ) 585 - 1619 INDIANAPOLIS, IN 06/08/113 13:13 3298 08168 092 9092 KATHY E '131789 ARTICHOKES 1= 6.88 N E '131789 ARTICHOKES F 6.88 N E 377608 ROMAINE F 3.98 N SUBTOTAL 17.74 TOTAL 17.74 MCARD TEND 17.74 MasterCard **** **** *k** 0617 I 2 APPROVAL # 50886P AID AO000000041010 TC ODBDI'E7CF6B28FEF . TERMINAL # SC011120 *NO SIGNATURE REQUIRED, CHANGE DUI? 0. Newl Free shippins for Plus members. Learn more: samsclub.com/•Freeshippins Visit sam'sclub.com-to see sour savinss # ITEMS SOLD 3 TC# 7841 4832 4087 7159 2794 IIIIII IIII III II I Iillll II IIIIII IIII IIIII I IIII IIII I II I I II I II I I IIIII I III Happy to Help *** MEMBER COPY :*** t CLUB MANAGER RYAN SIMPSON ( 317 ) 585 - 1619 INDIANAPOLIS, IN 06/08/18 10:31 3992 00168 007 2464 KATHY E 503619 II11 fUISfS F 6.90 N E 131709 ARTICHOKES F 6.80 N E 207966 HQZZSALAS24F 9.88 N E 190007462.4 MOZZ PEARLSF 6.98 N E 1980074624 MOZZ PEAIILSF 6.90 N E 473008 GRAPE 1OMATF 4.98 N E 34140 HH lJHTE UIHF 1 4.96 N E 450051 BALSAMIC UHF 4.91 N E 900090420 111101-FORAT F 2.68 N E 931469 AN 16CT HOTF 2.38 N E 931469 AM 16CI HOTF 2.38 N E 931469 AM 16CT HOfF 2.30 N E 931469 All 16CFHOTF 2.30 H E 931462 AN 16CT MAPF N �v E 2017,10 11111 KFTCHIIPF 98 2 0 1.40- E U INST SU 11022 PEARLS 2.00-H SUBTOTAL 71.31 TOTAL 71.31 MCARD TEND 71.31 flasturCard **** **** **** 0617 I 2 APPROUAL 0 21l779P AID AOOCO000041010 TC E105IC52060ACOOS TERMINAL 0 SCO10585 *NO SIGNATURE REQUIRED CNANOE DUE 0.00 Additional Savings This Trip: San's Instant Savings: 42.00 Hew! Free shipping for Plus munbers. Learn nure: savrsclub.sma/freeshippin� Visit sonsclub.Cen to see Your sayings # ITEMS 'SOLD 15 TCO 2091 4030 4067 7450 9744 lilllll 11111 111111 1111111 IIIIIIII II(IIIIIII ill IIII Iillllll�111111(1111(11111111IIIIIIIII �r �: Help 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 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course Terms Date Due r PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT Krista Mallory 43-553.00 $49.47 1 hereby certify that the attached invoice(s),or 6/7/18 Krista Mallory Krista Mallory Permit $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,June 07,2018 fA- 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 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: 7 June 2018 Applicant Name: Krista Mallory License Number: Pending Agency: MLO Process: Apply for Initial License process Payment Information Authorization Code: 681252 Received Date: 6/7/2018 11:06:28 AM Transaction#: 89550672 Credit Card Number: XXXX XXXX XXXX 6072 Fee Amount: $45.00 ServiceFee: $2.50 Instant Fee: $1.97 Total Fee: $49.47