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186730 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: T358633 Page 1 of 1 ONE CIVIC SQUARE AUNT MILLIE'S BAKERIES s. CARMEL, INDIANA 46032 7651 GEORGETOWN RD CHECK AMOUNT: $74.22 INDIANAPOLIS IN 46268 a CHECK NUMBER: 186730 CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 007735216910 74.22 FOOD BEVERAGES ROUTE 7735 *Aunt Millie's Bakeries FRI 06118/2010 9:42 7651 C=orgetown Rd. PAGE 1 *Indianapolis, In 46268 *Phone: (317) 872-0307 *GEORGETOWN DEPOT a18 INVOICE 007735216910 ACCOUNT a 29111 BROOKSHIRE GOLF COUNTRY CLUB 12120 BROKKSHIRE PKWY CARMEL, IN,46032 SALES QTY ITEM# UPC DESCRIPTION PRICE EXT AMT 2 157 0- 7131400050 -5 AM WHITE SAND 220Z 2.0900 4.1800 2 466 0- 7131400051-2 AM WHEAT SAND 22OZ 2.0900 4.1800 10 1632 0- 7131400855 -6 AM 16CT HAMBURGE 2.3000 23.0000 10 1640 0- 7131400856-3 AM 16CT HOTOOG 2.3000 23.0000 3 3919 0- 7131400243-1 NP AMHRTH 100 %WW 2.4400 7.3200 6 4753 0- 7131400331 -5 AM SUPER SUB 6CT 2.0900 12.5400 33 TOTAL SALES 74.2200 TOTAL SALES 74.22 TOTAL RETURNS 0.00 NET 74.22 PREVIOUS BALANCE 125.31 CASH AMOUNT DUE 199.53 SIGNATURE :VOUCHER NO. WARRANT NO. ALLOWED 20 Aunt Millie's Bakeries IN SUM OF 7651 Georgetown Road Indianapolis, IN 46268 $74.22 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 007735216910 42- 390.40 $74.22 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 Monday, June 21, 2010 f Director, Brooks re 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)) 06/18/10 007735216910 Bread $74.22 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 1 20 Clerk Treasurer