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181878 02/03/2010 ,77- CITY OF CARMEL, INDIANA VENDOR: 363874 Page 1 of 1 i ONE CIVIC SQUARE DEBORAH EGGERT CHECK AMOUNT: $42.00 i CARMEL, INDIANA 46032 1824 WHITE ASH DRIVE ti .,«o_ CARMEL IN 46033 CHECK NUMBER: 181878 CHECK DATE: 2/3 /2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 42.00 TIPS VOUCHER NO. WARRANT NO. ALLOWED 20 Deborah Eggert IN SUM OF 1824 White Ash Drive Carmel, IN 46033 $42.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 012210tips 42 390.40 $42.00 I hereby certify that the attached invoice(s), or 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 7 /2tA Director, Brook 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)) 01/22/10 012210tips Tips Rotary Club Banquet $42.0 01 Oi 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