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181801 02/03/2010 F CITY OF CARMEL, INDIANA VENDOR: 363734 Page 1 of 1 b ONE CIVIC SQUARE AMY AYERS CHECK AMOUNT: $72.00 1��4 CARMEL INDIANA 46032 13165 PLAYER CIRCLE CARMEL IN 46033 CHECK NUMBER: 181801 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 011610 TIPS 30.00 FOOD BEVERAGES 1207 4239040 012210 TIPS 42.00 FOOD BEVERAGES VOUCHER NO. WARRANT NO. ALLOWED 20 Amy Ayers IN SUM OF 13165 Player Circle Carmel, IN 46033 $72.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 011610tips 42- 390.40 $30.00 I hereby certify that the attached invoice(s), or 1207 012210tips 42 $42.00 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 25, 2010 Director, Br shire 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)) 01/16/10 011610tips Tip for Owens Banquet $30.0 01/22/10 012210tips Tip from Rotary Club Banquet $42.0 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