182964 03/03/2010 CITY OF CARMFL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COLfg
CARMEL, INDIANA 46032 C/O PAM LISTER CH ECK AMOUNT: 182
CHECK NUMBER: 182964 64
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 13.41 FOOD BEVERAGES
1207 4239099 76.84 OTHER MISCELLANOUS
1207 4342100 9.31 POSTAGE
1207 4350000 20.00 EQUIPMENT REPAIRS M
1207 4355300 70.00 ORGANIZATION MEMBER
Vkkatu Holiday Inn North
G 0 L F Indianapolis, Indiana
Indiana Section
V March 8 9, 2010
iMamr-hi 0;-, ED' A better game by design.
ftfl da 1 -Morth Call 317-872-9790 for your PGA discounted
Holiday Inn room reservation,
Pre-Registration Deadline:
Monday, March 8, 2010 Tuesday, March 9, 2010 March 5, 2010 5:00 pm
7:30-8:00: Registration 7:00-7:45: "Does God have a Master Plan Entry Fee: �egistration:
and Purpose for your life, R rc 5 $90
8:00-9,. Business Meeting CA a �th
9:30-9:45: Break and if so are you following it?"
9:45-10:45: Business Meeting Seth Ray and Dan Ross *all information is required*
10:45-11:00: Break Optional attendance a light continental breakfast will be *Name: r)
11:00-12:00: BlueGolf Handicapping served Please RSVP to The Golf Office
12:00-1:30: Lunch on Your Own *Member
1:30-2:30: 1 The Science in Teaching Club Fitting 7:30-8:00: Registration 2 2�
(Matt Frelich, PGA/Trackman Golf) 8:00-12:00: Key Note Speaker *Club: r e
2:30-2:45: Break "How to Build a Better You" T Visa
2:45 -3:15: The Science in Teaching Club Bryan Dodge Q MasterCard
Fitting, continued E) Check
3:15 -3:30: Break
13 American Express
3:30-4:30: Sponsor Recognition and Indiana Vendor's Association Product Card 3 F'i&
Special Awards Orientation Throughout Both Days. Expiration Date: _i I z? cJ
4:30-6:30: Cocktail Reception Name on Card:
DR MSR Information *Register Online: www.ind1ana4olf.orq*
PGA ESS CDE
PGA Members are required to
All those in attendance are Make Checks Payable to:
accumulate 54 MSR credits during this Indiana Section PGA
three-year Cycle, June 16, 2008—June 15, 2011.
reminded that the' PGA Dress P.O. Box 516
The 2010 Spring Meeting will offer 12 MSR credits for
Coe is in effect. Franklin, IN 46131
d
Members, and 16 Indiana Section education credits for
e
Apprentices Pre-Apprentices oventhe two days. Fax Entries to:
Men WAI not b admitt ed
Check PGALinks.com for an explanation of the new 317-738-9436
Without co"at and tie.
MSR requirements, or call The Golf Office. Attn: Judy Deiwert
126TH REYNOLDS ROAD (HWY 37 NO.)
P.O. BOX 195 FAST! Service at your Farm,
FISHERS, INDIANA 46038 Commercial Site or on the Road.
TIRE FISHERS 317 -842 -0544 OR 1- 800 444 -5985 All Major Brands Available
Fax 317 577 -3956
NAME I ADDRESS ACCOUNT.NO. HOME PHONE REFERENCE NO.
(317) I NO@ 112723
CAMEL BRI3QKSHIRE W P 6 NO. WORK PHONE :DATE/ TIME
(317) 02I1.2J10 12:12
RESALE NO. VIN NO. WO ES NO.
W0000 741S I
YEAR MAKE MODEL LICENSE NO, TAG NO. NEXT INSP. DATE BAR NO.
a
savE PARTS—: ALL PARTS NEW UNLESS
rr PROMISED DATE 1 TIME MILEAGE WRITTEN BY
E
Y N. OTHERWISE SPECIFIED
q
ORIGINAL FREE ROTATION
REVISED i
(EVERY 5,000 MILES
REVISED 2
I acknowledge notice and oral. approval of an increase in the original estimate price. ROAD HAZARD WARRANTY
X
PARTS OTHERS LABOR
e; I 2.�N LABOR AIR UP 20,00
40 -9467
RUSSALL
i
t y
I
5
e
i
_r
Any warranties on the itemfitems sald are those made by the manufacturer. The seller, CLARK TIRE: hereby expressly f
disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular
purpose, and CLARK TIRE neither assumes nor autharizes any other, person to assume for, it any liability in connection with the sale .3
of this itemlitems.
A.SERVICE CHARGE'OF two% PER MONTH (21%' ANNUALLY);WILL BE CHARGED ON ALL ACCOUNT PAST DUE 30:DAYS. NET 10th.PROX: a
I THE UNDERSIGNED, HEREBY AGREE THAT IN THE EVENT OF DEFAULT IN THE PAYMENT OF ANY AMOUNT DUE, AND IF THIS ACCOUNT IS PLACED IN 7TA
THE HANDS OF AN AGENCY OR" ATTORNEY FOR COLLECTION OR.. LEGAL ACTION, TO "PAY AN ADDITIONAL CHARGE-EQUAL TO, COST OF
COLLECTION INCLUDING AGENCY AND ATTORNEY FEES AND COURT COSTS INCURRED AND PERMITTED BY LAW GOVERNING THESE TRANSACTIONS r
20. 01 I
i hereby authorize the repair work to he along r with the necessary materials. You and you employees may operate vehicle for: purposes of testing,,
inspection, or delivery at my risk. An express mechanic's lien is acknowledged: on vehicle to secure the amount of repairs thereto. It is also understood that you will not be held. responsible for loss or damag e to car`s or articles left in cars in case of fire, theft or any other cause beyond your control. Signature X 0. 0 a. ecd By 20..01 CASH AMOUNT CHECK AMOUNT CHECK NO. C. C. AMOUNT C,O, TYPE `i C.C. APPROVAL.CODENT THANK
20.00 YOU!:
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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
0 1
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i S ��U -moo
l v o� yo2/ -ov l
Total 160
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT- I hereby certify that the attached invoice or
bill(s) is (are) true and correct and that the
a 9 materials or services itemized thereon for
which charge is made were ordered and
6 C-:) received except
1 0a
t�rr l 20
Signa ur
Go, lL)P
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund