185393 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COI CK AMOUNT: $23.19
CARMEL, INDIANA 46032 C/O PAM LISTER
CHECK NUMBER: 185393
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 23.19 FOOD BEVERAGES
W MALTA #206
4755 E. 126TH ST.
CARMEL, IN 46033
(317)844 -4372
254 MARSH BUN HOT DOG 1.39 F
259 MARSH BUN HOT DOG 1.39 F
254 MARSH BUN 1101 DOG 1.39 F
251 MARSH BUN MOT DOG 1.39 F
51 MARSH BUN HOT DUG 1.39 F
-t* TAX .00 BAL 6.95
CASH 50.00
CHANGE 43.05
TOTAL NUMBER OF ITEMS SOLD 5
5/03/10 2:52 PM 0206 05 0063 127
THANK YOU FOR SHOPPING AT O'MALIA
YOUR CASHIER WAS TAMMY
CUSIOMER SERVICE IS t1 WITH O'MALIA
LET OUR STORE MGR RICK SMITH
KNOW HOW WE ARE DOING.
CHECK US OUT: hffp: www,omallas.com
������u�
4765 E. 126 r 5T.
�(�MRHEL. IN 46(193
[3Il7 )8411-1370
1135 [U SLICER 4.99 T
112|| F C0 CRwCxy pDlR 89 F
�l556 F CLo SoU/ppx nx p
'1556 FD [L0 519 L1'/Pr8 98 F
'155h FD CLG 5nLT/PPR 98 F
�20 FD CL 1) 5,NCK CRCK6 2 .99 F
0.57 |b l y] /lx
WT IOgZ ON0wS RED 1 r
Tnx J5 o*L 1 .1 Zp
TRX EKtMrTIOw 35-
CUSTOMER wUn8[x IW 95
Tn3 nO 8pl-
0'mALln 0206
1755 E 126m Sl.
CHRMEL, IN 460J3
(317BVI-4372
EFl CREDIT PURCHASE 0*0740 l}M HH
CARD HXXXX%XXYXXXlS16
8UT10:0048710
po,wEml om0UwT 13.911
V CRIUIT lJ9*
CxoNG[ .O0
TOTAL NUMBER OF ITEw3 SOLD 7
8M 0106 O| 005* 115
]xHNx YOU FOR 5xOPPlw6 o7 0'xoLlo
YOUR CHSHIEn WAS vo0la
CU!T8MER SERVICE 91 uTTH O'MRLln
LET OUR STORE MGR RICK SMITH
KNOW HOW WE ARE 0lNS.
CHECK US OUT: h+tp://www.c
*****BABY CLUB UPDHTE*)cw**
,vvr cv,,mt 8nby Club Point tot
is |4
YOU w r E c~ me o $10 H*^y C l u b
Cnopon when yov reach Z00 pmn|s
va]/U +hry 17/31/10
Willi yovr Narsh F'',sx Idea Cw'U
You saved
$17.91 in 2009
You have saved
$31,86 in 2010
nnrox F IDEA Cord
,envirod for o|| »rrer».
Thank 9nm For Shcppin
Marsh!
MIWOL IERICA
INVOICE
BEVERAGE BROOKSH I RE FTR5T MORTGAGE
dba BROOKSHIRE GOLF CLUE!
INN 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 RR2 Y03542 EXF. 07113710
765- 459 -3117 Thursday Deliver
800- 382 -0675 Y
Fax: 765- 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
04/29/10 414678 Dustin Smith 13 800 13
QUANTITY D E P OSIT
BASE April 5, 2010A
PROMO #0410A
PUMP $40/$33 REFUNDABLE
109 5 Budweiser 24 Lse Can 16.40 62.00
209 8 Bud Lt 24 Lse Can 16.40 131.20
906 2 Mich Ultra 2/12 Can 17.55 35.10
Cases 15
TOTAL SALE 249.30
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
10310 EMPTY IMPORT 1/2 30.00 N
9230, PUMP DEPOSIT 33.00
9270. IMPORT PUMP DEPOSIT 33.00 K 246.30
T RETURNS C
O CREDITS
Cash EFT Escrow Check Numbe ,a U
�r
Driver Received By
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF
$23.19
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO ACCT #!TITLE AMOUNT Board Members
1207 42- 390.40 $13.94 1 hereby certify that the attached invoice(s or
1207 414678 42- 390.40 $2.30
bill(s) is (are) true and correct and that the
1207 42- 390.40 $6.95
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 10, 2010
Director, Bra o ire 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))
04/27110 Food $13.S
04/29/10 414678 Beer $2.2
05/03/10 Buns $6.5
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