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186187 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: T358633 Page 1 of 1 ONE CIVIC SQUARE AUNT MILLIE'S BAKERIES CHECK AMOUNT: $141.74 4 CARMEL, INDIANA 46032 7651 GEORGETOWN RD a, INDIANAPOLIS IN 46268 CHECK NUMBER: 186187 CHECK DATE: 619/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 007735214812 141.74 FOOD BEVERAGES I P T ROUTE 7735 v Aunt Millie's Bakeries FRI 05/2812010 10:05 7651 Georgetown Rd. PAGE 1 *Indianapolis, In 46268 *Phone: (317) 872 -0307 *GEORGETOWN DEPOT #18 INVOICE 007735214812 ACCOUNT 29111 BROOKSHIRE GOLF COUNTRY CLUB 12120 BROKKSHIRE PKWY CARMEL, IN,46032 SALES QTY ITEM# UPC DESCRIPTION PRICE EXT AMT 3 157 0- 7131400050 -5 AM WHITE SAND 220Z 2.0900 6.2700 3 466 0- 7131400051 -2 AM WHFAT SAND 2202 2.0900 6.2700 18 1632 0- 7131400855-6 AM 16CT HAMBURGE 2.3000 41.4000 20 1640 0- 7131400856 -3 AM 16CT HOTDOG 2.3000 46.0000 20 4753 0-0000000008 -6 AM SUPER SUB 6CT 2.0900 41.8000 64 TOTAL SALES 141.7400 n TOTAL SALES 141.74 TOTAL RETURNS 0.00 6 C NET 141.74 P/` PREVIOUS BALANCE 178.36 CASH AMOUNT DUE 320.10 0 3 -14812 141 ,i4 SIGNATURE VOUCHER NO. WARRANT NO. ALLOWED 20 Aunt Millie's Bakeries IN SUM OF 7651 Georgetown Road Indianapolis, IN 46268 $141.74 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 007735214812 42- 390.40 $141.74 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, May 28, 2010 Director, Brookshir Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Slate Board of Accounts I 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)) 05/28/10 007735214812 Bread $141.7 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