181356 01/13/2010 o CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
r Q t ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COUBg CHECK AMOUNT: $246.50
CARMEL, INDIANA 46032 CIO PAM LISTER
--N, CHECK NUMBER: 181356
CHECK DATE: 1/1312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4343002 246.50 EXTERNAL TRAINING TRA
y y' y-v
vy.„s� H� F�^, iSG- ,'�+'�'�'y` 7 X ::...e: "�.e n. 7..Sa�.� S �.n r; ic,�`�.'.�,.a.i5;."'� r
Iidi i a Green Expo-. R a CISTRATION
PLEASE PRFI T NEATLY. Membership (circle) MRTF INLA IFG
Company (r n 1 crv Llt,
Address 'D-( fvokg Pv
e�ee w
'1
City C.lG State �r Zip Code b
Phone 0 -8 7'13 Fax
E -mail: J h, c r t n 5 t Carr 1M-1 Ltd Cra 4
First Name Middle Initial Last Name
ir
1. 1 J6 0 1 t( r
V
2.
3.
4.
EXPO REGISTRATION Cost Amount
Member Non member Due
Tradeshow Only Badges $10 $15
Registration: Education Tradeshow $'125• $l (S
Ea. additional member: Ed. Tradeshow $45 $150
Green Roof Workshops (A or C) $350 $400
One Day Only (Education Tradeshow) $90 $120
Workshop B, E, or F (with full registration) $70 $100
MRTF Reception $15 $15
ASLA Lunch $25 $25
Total Amount Due A lsd
Make all checks payable to Indiana Green Expo or charge
Circle: Visa Mastercard
Signature
Office Us
Date 01 Amt, s Checl.
t 1
Card Number
Evpiratien Date t c
Receivedbti" .`st
U
pk
EJIRIIJE Packi n g List Date Printed: 12/22/2009
U N I V E R S I T Y ACS Order #:46595
Purdue Extension Toll Free: 1 888 EXT -INFO
The Education Store (39B-4636)
231 S University Street FAX: (765) 496 -1540
West Lafayette, IN 47907 -2094 ,Email media.order @purdue.edu
Order Date: 12/21/2009
Ship Date: 12/21/2009 Customer 83423
UPS 1Z4414550363839665 Payment Visa
Ship To: Brookshire Golf Club Bill To: Brookshire Golf Club
West Smith 12120 Brookshire Pkwy
12120 Brookshire Pkwy Carmel IN 46033
Carmel IN 46033 USA
USA
Order Shipped Unit
Item Qty Qty Retail Unit Disc. Total
PPP -C -PPP -13 Indiana Pesticide Applicator Training Manual 1 1 $32.00 1 $32.00 $0.00
PPPWP -C Registration 2010 CORE Indiana Applicator 1 1 $90.00 1 $0.00 $90.00
Training
Total Discount $32.00
Sub Total $90.00
Shipping Postage: $6.50
Tax $0.00
Comments Total $96.50
Red indicates Item not available Indicates order qty is different then shipped qty.
CaII 1 888 398 -4636 and ask for the Media Distribution Center about billing /return questions or concerns. Page 1
VOUCHER NO. WARRANT NO.
ALL IN OW SU E M OF D 20
Petty Cash
$246.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Goff Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 46595 43- 430.02 $96.50 I hereby certify that the attached invoice(s), or
1207 5104 43-430.02 $150.00 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
Monday, January 11, 2010
l hi
Director, Brooks Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199(
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/18/09 46595 Training for Wes Smith $96.5
01/07/10 5104 Education Tradeshow For Bob Higgins $150.0
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
Clerk- Treasurer