182076 02/03/2010 4�„ CITY OF CARMEL, INDIANA VENDOR: 361935 Page 1 of 1
l ONE CIVIC SQUARE SAHM'S RESTAURANT BAR
CHECK AMOUNT: $717.99
CARMEL, INDIANA 46032 11505 ALLISONVILLE ROAD
0 FISHERS IN 46038 CHECK NUMBER: 182076
CHECK DATE: 213/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 37375 717.99 FOOD BEVERAGES
1.
Invoice
Sahm' s Restaurant Pub Invoice Number:
11505 Allisonville Road 37375
Fishers, IN 46038
Invoice Date:
Jan 22, 2010
Voice: 317 842 -1577
Page:
Fax: 317 577 -8216
i
Duplicate
Sold To: Ship to:
Brookshire
12120 Brookshire Parkway
Carmel, IN 46038
Customer ID Customer_PD_ Payment Terms
BROOKSHIRE Net 15 Days
Sales Rep ID Shipping Method Ship Date Due Date
Airborne 2/6/10
Quantity Item Description Unit Price Extension
ATTN. PAM LISTER
70.001143B Lunch Group A One Entree (31 -100 9.9 696.50
pp1)
1.009002 Delivery 20.00 20.00
1.009003 Mileage Surcharge 1.4• 1.4•
Subtotal 717.99
Sales Tax
Total Invoice Amount 717.99
Check/Credit Memo No: Payment /Credit Applied
TOTAL 717.99
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sahm's Resturant Pub
Accounts Receivable IN SUM OF
11505 Allisonville Road
Fishers, I N 46038
$717.99
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 37375 42- 390.40 $717.99 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
Thursday, January 28, 2010
0
Director, Brook hire 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 37375 Catering $717.
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