HomeMy WebLinkAbout186983 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF CO
CK AMOUNT: $213.05
r. CARMEL, INDIANA 46032 CIO PAM LISTER
CHECK NUMBER: 186983
CHECK DATE: 6123/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 159.72 FOOD BEVERAGES
1207 4342100 19.45 POSTAGE
1207 4350000 33.88 EQUIPMENT REPAIRS M
Order Confirmation Page 1. of 1
Pamela Lister Order Confirmation
Order Number:4123871
Order Placed: 619/10 at 12:15 PM
Status: Processing
Shipping: $10.02
Order Details:
Item Price Qty Total
Medium French Fry Bag 2000 /CS $15.49 1 $15.49
15OMFFBAG
CS
4 lb. White Paper Bag 500 /Bundle $9.19 2 $18.38
433W4BG
Bundle
Sub Total: $33.87
Tax: $0.00
Shipping: $10.02
Total: $43.89
Thank you again for shopping at The WEBstaurant Store!
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https:// www. webstaurantstore .com/orderprint.efn? email plister ,,carmel.in.gov &order nu... 6/9/2010
PrescribeQ by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
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p
%D A) Meg /Z'
Total 0
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
,1,70 oiD 33. ,l4! bill(s) is (are) true and correct and that the
S? �s' materials or services itemized thereon for
1 d 159 7a which charge is made were ordered and
received except
1 20 /v
S re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund