182882 03/03/2010 ,a CITY OF CARMEL, INDIANA VENDOR: 358995 Page 1 of 1
ONE CIVIC SQUARE I G A/P G A INC
i CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 PO BOX 516
FRANKLIN IN 46131 CHECK NUMBER: 182882
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 001084 250.00 OTHER CONT SERVICES
Pbas,', Leta And Rehim lop P'w!iorn V1.1h Your Payfrow
STATEMENT
CLUB NAME INVOICE NUMBER INVOICE DATE DUE DATE
Brookshire Golf Club 001084 02112/2010 0311512010
DESCRIPTION FEE
Club dues Association fee $250.00
If you have questions about your account, call 800-779-7271.
Message(s):
TFil THE 2010 Ct:UB HANDICAP rU7FE-]��lU �LQ
S,5P-AR
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LE9CH =I'N ID 1- �j E N/1 B E RzA7(EY0 Ptj
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,VOUCHER NO. WARRANT NO.
ALLOWED 20
IGA -PGA
Judy Deiwert IN SUM OF
P.O. Box 516
Franklin, IN 46131
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1207 001084 43- 509.00 $250.00 1 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
Friday, February 19, 2010
Director, Bro kshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
C
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))
02/12/10 001084 Dues $250.0
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