184402 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 358825 Page 1 of 1
ONE CIVIC SQUARE MISTER ICE OF INDIANAPOLIS
CARMEL, INDIANA 46032 7954 E 88TH ST CHECK AMOUNT: $390.00
INDIANAPOLIS IN 46256
CHECK NUMBER: 184402
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 53133 390.00 OTHER CONT SERVICES
Lease Invoice
Invoice No: 53133
Date: 04/22/2010
OF INDIANAPOLIS Due Date: 04/22/2010
Terms: Due Upon Receipt
7954 East 88th St. Cust PO:
Indianapolis, IN 46256 Reference: Monthly Service
Tel. 317 8494466 Lease 50993
Fax. 317- 578 -0750 AcctNo: 50993
Billing Address: Location Address:
Brookshire Golf Club Brookshire Golf Club
Carmel Redevelopment Commissio 12120 Brookshire Parkway
12120 Brookshire Pkwy CARMEL, IN 46033
CARMEL, IN 46033
itemNo Description Qty Unit Price Extended
OE -LEASE Full Service Lease for Outside 1.00 MONTH $195.00 $195.00
Clubhouse Ice Machine
OE -LEASE Full Service Lease for 126th St. Pump 1.00 MONTH $195.00 $195.00
House Outside Ice Machine. Due on
the 22nd of every month
Blank Acount Numbers indicate invoices prior to June 2008
Open Invoices as of: 6- Apr -2010
Invoice Location Account Company Amount Due Date
Tear Off Return With Payment
for proper credit.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mister Ice of Indianapolis
Accounts Receivable IN SUM OF
7954 East 88th Street
Indianapolis, IN 46256
$390.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members_
1207 53133 43- 509.00 $390.00 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
Thursday, April 08, 2010
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Proscribed 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))
04/22/10 53133 Ice Machine Lease $390.0
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