186305 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 364240 Page 1 of 1
ONE CIVIC SQUARE MICHAEL FLENER
CARMEL, INDIANA 46032 305 AMY'S RUN COURT CHECK AMOUNT: $1,700.00
CARMEL IN 46032
CHECK NUMBER: 186305
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239099 FLENER6 -1 -10 1,700.00 OTHER MISCELLANOUS
c® Brookshire Golf Club
12120 Brookshire Parkway
do
®rcOO 0 Carmel, IN 46033
June 7, 2010
Michael Flexner is no longer able to play golf due to a shoulder injury. He has requested a refund for his
Brookshire Golf Club membership for 2010. Please refund him for his 2010 membership of $1700.00 for
2010.
Thanks
i
Bob Higgins
General Manager
Brookshire Golf Club
Pa
ORTHOINDY
Complete Orthopaedic Care
Date
IS
BEEN UNDER TREATMENT FOR
i
NO PHYSICAL EDUCATION
j NO ATHLETIC ACTIVITIES
NO WORK
LIMITED ACTIVITY
f UNRESTRICTED ACTIVITY )o
THANK YOU,
�r
D.
RT�0�501�(Rey 11104)
VOUCHER NO. WARRANT NO.
ALLOWED 20
Michael-Flener
IN SUM OF
305 Amy's Run Court
Carmel, IN 46032
$1,700.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 Flener 6 -1 -10 42- 390.99 $1,700.00 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, June 03, 2010
Di ector, Brookshir 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. 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
Purchase Order No.
Terms
Date Due-
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/01/10 Flener 6 -1 -10 Member refund $1,700.00
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