HomeMy WebLinkAbout188540 08/03/2010DEPARTMENT
1207
1207
1207
CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
4239040
4239040
4239040
VENDOR: 359366
SYSCO FOOD SERVICES
PO BOX 7137
INDIANAPOLIS IN 46206 -7137
007160621
007230504
007291072
Page 1 of 1
CHECK AMOUNT: $2,567.70
CHECK NUMBER: 188540
CHECK DATE: 8/3/2010
552.17 FOOD BEVERAGES
1,391.66 FOOD BEVERAGES
623.87 FOOD BEVERAGES
BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY
CARMEL IN 46033
317 846 7431
CITY OF CARMEL
1 CIVIC SQUARE
::u
�C
N
C
\;D
PAc
2C
DRIVER'S
c SIGN
GS 605 33Qz
DNLY5 LB
26
1 CS 42.5LB
F 1 CS 1441.0 OZ
F 1 CS 612CT
F I 1 CS 244 250Z
DNLY36 CT KARS CANDY BAR MILKY WAY
1S ONLY48 CT SNICKER CANDY BAR SNICKER 2.07 OZ
ONLY48 CT 1 &M CANDY M &M PEANUT 1 74
1S CT y &M CANDY SKITTLE FRUIT CHEW 2.17Z
CS
230 CT'LAYS CHIP VARIETY PK BAKED BEY
CS 160 CT LAYS CHIP VARIETY SYSCO /FRUTO LAY"
2 C:S 135 LB PACKER SHORTENING FRY LIQ CLR
OPEN: 1:00 AM CLOSE: 4 :0D PM
17.9
DAIRY
BBRLCLS CHEESE AMER YEL 120 SLI
GROUP TOTAL
I
MEATS
„AB BEEF PATTY GRND STKBRGR FRZN
319
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s come from
SYSCO INDIIANA LLC
4000 W INDIANAPOLIS, IN 46268
NO. PCS
DELVO.
CUST. SIGNED INVOICE LVIDENCES RECEIPT OF ALL ITEMS.
SIGN X
I1 EI�1 D
ESCRIPTION
IMPORTANT PACA PROVISION: THE PERISHABLE TURAL COMMODITIES LISTED ON ACRICU THIS DITI IINVVM °OICpE E IV! gSCO7LO ORIISgU3BJECT
T
p 7�E S7AKK 7R T A4ITHOR d aP gY E
SCTION 5�C) F SHE N RCM A EU
EN RIN VENTES
4 99E THE R LR ft U TH DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF
THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.
ITEM:::
28131 6697114
99,763151 6703049
1:9.9
...37736070 11 37736
20660 1963289
NO. PCS
REC.
7123/1Q
7fl CKFS OP
/009
5053
412940 007230504
3NVDICE NUMBER PA'G'E<
8 1
PIIR(HASF nRFFR
I:: T��MIS PP.5T DktE BA3:i1 ARE .SUSJECY' 70'S -RVIGE %CHARGE.
30 DAYS FROM DATE OF INVOICE
MANIFEST# 385455 NORMAL DELIVERY
MA: SN 3 GARY LEVERENZ
DRIVER: GILLETT, BRAD
2 0643; 1
uNi
::LP..RfcE
5 110 LBJHNSVLE BRATWURST 441PRE000K.ED
11Q L5.13BRLCLS FRANK ALL MEAT 5X1 6 IN
2 5LB BRLCLS HAM SLI 2/302 HNY
GROUP 'TOTAL
POULTRY...
BBRLCLS TURKEY BREAST SLI OVEN RSTD
>..GROUP..TDTAL .,I
FROZEN
BKRSCLS COOKIE CHOCCHIP CLR I 231316 0231316
PRCTYBK COOKIE CHOC CHNK DWNHM30Z IW 8349439
BKRSIMP MUFFIN ASST BL /BAN /CHOC /CH I/W 0 7347302113 25 78I3114
GROUP TOT L*
*'CANNED" DRY
PAYABLE,ON OR BEFORE
A31 UNT
56,79
29.44
19,55
39 29
960434 39.9
28 50.
57. 82`
21
0110 •4367313• 24.41
01202 434
01232
70 09251
32T'98' 5581863 `29:`15
31831 6586721 26 98
520'5'661 '22.43`
P.O. BOX 7137
INDIANAPOLIS IN
46206 7137
CONFIDENTIAL PROPERTY OF SYSCO
EXTENDED
2P..RICE slL:
27.96
113 58.
58:88
117 .30.
S9:29
39 98
28.50
57,82
21,25
24
29.30
28 62
24.41
29.15
53,96
44.86
SUB
TOTAL
TAX
TOTAL
INVOICE
TOTAL
X
P.
CONT. ON PAGE
2
N
BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY
CARMEL IN 46033
317 846 7431
CITY OF CARMEL
1 CIVIC SQUARE
Good things
SY
C
SYSCO NDIANAPOLIS, LLC
4000 W 62ND ST
INDIANAPOLIS, IN 46268
pay, DATE
7/23/10
TE9t]CKS OP
/009
.:RO11 E
5053
CiJS7f}MER
412940 007230504
I'NVOICO>NVMBFW
8 2
PI IRI HA CF QRrIE17
TERM'S PAST DUE-BA A SUB JEST TO SERVICE .:CHARGE.
30 DAYS FROM DATE OF INVOICE
MANIFEE1 385055 NORMAL DELIVERY
MA: SN139 GARY LEVERENZ
DRIVER: GILLETT, BRAD
CONFIDENTIAL PROPERTY OF SYSCO
NLY500CT:
1280 CT
6I GAL!:
43202
13 CT
.:1�...LB.
42 5 LB
A
D
C
C
EORG P..TQWEL:ROLL ENMOTION.'LRG 4AUTO
GHEMI:CAL.
GROUP TOTAL
YS REL BLEACH'<iCHLORINE :EIQUII)S: 2.5'% JR57!Q 4000:147
EYSTON CLEANER' MULT >I SURFACE RTU
GROUP TOTAL**** 6100063 7b 2 2
m:SUPPLX! .EQUIPMENT
YSC:O :MOP?..HEAB. CTN< CUT:.END �ATU E #24 M8224SYS 4
G TOAL *T
P.RODUCE
ITEMI D
BRLOT SNACK. MIX..5 C12OLE .....I
RI2ON'A TEA I CED ARNOLD >P:ALMER� I TE
GROUP TOTAL
*.:PAPER .DISPOSABLE..
YSCfl CUP,.PLA;S TRANS &OZ .S�F'T
FOIL y:SHEET .9X10.75IN.:SILVER
ACKER AP
PLE. RED.:DEL .ECYr.F
ESCRIPTION
RESH
AOKER BANANA` :FRESH
YS NAR LETTUCE .ROMAINE CROWN »LE'AVES
YS CLS. LETTllCR! SPRING MINX. COI!IV PLPW
YS IMP ONION :RE70 .FRESH. JUMBO;
UT /STOCK 1
BRLIMP CHICKEN
YS IMP TOMATO SLICED 1L4"
NO. PCS
DELVD.
CUS7. IGNEO INVOICE EVIDENCES RECEIPT OF ALL ITEMS
SIGN
R PCS
DRIVER'S NEE C.
SIGN
IMMoP��O��REETAN77Tgq77PA77COoA� yVISSI ON qq�� HH I �UFRLH O
�CMEEMODIITqTggIESEE LISTED LON THIISC IINMVMOICpE AERgE kg S 9U8JIET
4 3BEICII S THE U SELLER PPRO OF TN: T
SE I C T TR PM LOr i VE`R THESE INV E NTbRI ES O Q U E SC.C.
F000 OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF
THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.
.:UN1F TAX
COD PR3C� dMOE:1NT
;9106 :9 9960 :329
:.74OU 987049.4..
160SYS.7358
F169372 6938500
8946G'. 96.2:7761
X344 :092.
646:6`:221
64 0.4'94!.: 66404 94
0E3 :94
51071 51O712510717
40451 6113765
P.O. BOX 7137
INDIANAPOLIS
PAYABLE ON OR BEFORE
36.58
43.65
206 713
EXTENDED
PRICE f?
513.33
59: 98:;i
>12 .:98
141 90
2958::
41.97
7
215:9OE
14.7
2:6. 65
73 16
43 65`
Y7503,
X
P .'sINUC71C 'AO.J'JS� IVIEpF7 S
CODE 3:r.:;
QTY
SUB
TOTAL
TAX
TOTAL
INVOICE
TOTAL
CONT. ON PAGE 3
BROOKSHIRE GOLF CLUB+++
12120 BROOKSHIRE PKWY
CARMEL IN 46033
317
CITY OF CARMEL
1 CIVIC SQUARE
Good things
siomefrom
sco
SYSCO INDIANAPOLIS, LLC
4000 W 62ND ST
INDIANAPOLIS, IN 46268
CtJSt�.M CONFIDENTIAL PROPERTY OF SYSCO
7/23/10
W13. E
/_209
5053
412940 007230504 8 3
PIIRrITRC
:..TERMS:-. ...p DuE•..BANcs S3.JECT1Y SERVICE CHARGE:.::.:.:
30 DAYS FROM DATE OF INVOICE
vAMIROMEMMENVUUMERMMULMLUOIVONV
MA: SN
GARY LEVERENZ
DRIVER: GILLETT, BRAD
161
tellENIMMINPRI
1
11 "v
CITY
4
52 41.8
923
mW1352,fl$A4MtVggEWde0M.
CUST.X
SIGN O INVOICE EVIDENCES RECEIPT OF ALL
SIGN ITEMS.
NO PCS
DELVD.
NO, PCS
NEC.
DRIVER'S
c SIGN
IMPORTANT PACA PROVISION: THE PERISHABLE ADRICUI-TURAL COMMODITIES LISTED0N THIS INVOICE ARE SOLO suei,EcT.
T aSsRa s TAME Y EFi rR a T TFIR I T8aPorgiciff c auFA Q r F Ru T s U r F fi-ME E
Foot) OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF
c _atESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.
P.O. BO
INDIANA
X 7137
POLIS
q2
IN
06
PAYABLE ON OR BEFORE
8/22/10
01CF II IRTIVIFNITS
SUB
TOTAL
1391.66
TAX
TOTAL
INVOICE
TOTAL
1391.66
LAST PAGE
'VOUCHER NO. WARRANT NO.
Sysco Indianapolis LLC
4000 W 62nd Street
Indianapolis, IN 46268
PO# Dept.
1207
$1,391.66
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
INVOICE NO.
007230504
ACCT /TITLE
42- 390.40
Cost distribution ledger classification if
claim paid motor vehicle highway fund
AMOUNT
$1,391.66
ALLOWED 20
IN SUM OF
Board Members
I 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
6
Director, Brooks hife Golf Club
Title
Friday, July 23, 2010
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
Invoice
Date
07/23/10
Invoice
Number
007230504
Payee
20
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.
Description
(or note attached invoice(s) or bill(s))
Food
Purchase Order No.
Terms
Date Due
Clerk- Treasurer
Amount
$1,391.66
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
Good things
12120 BROOKSHIRE PKWY Salk
BROOKSHIRE GOLF a
LF CLUB+++
SYSCO INDIANAPOLIS, LLC
CARMEL IN 46033 4000 W 62ND ST
INDIANAPOLIS, IN 46268
317
F
F
F
F
D
D
QTY
is
1
2S
S
1
CS
CS
CS
CS
CS
CS
CS
CS
es
DRIVER'S
S I G N
'S
P
0
0
z
DAIRY
Nt 5 'BRLCLS AMER YEL 6697114 13..98 1:3.98
MEATS A
110 LB HNSVLE BRATWURST 4X1 PRECOO 199 1611243 29 44 58 88 :iggWEEM
r cl
ffrggP4
(i4
2
2
0
P,
g
CITY OF CARMEL
1 CI VI C SQUARE
u
B :BRLCLS FRANK ALL 5X1 6 IN 37 36
'effi9.79EWH
FROZEN
57 82
62 5 LBYS IMP ONION RING et000Ve. 4 0 04469 36 24 72 48
Z45.140Z NPRIDE SAUS EGG CHS 1411FT 3151; 9:21 ;K..._ '24 :94
GROUP TOTAL**** 94 155 24
CANNEDCDRY***
4M0. NICKE BAR SNICXER 2 07 OZ 010 43000 29 30 $8 0
NT.!Y0 &M 1); oz 01231 4364774 28 93 213;93
160 CT AYS CHIP VARIETY SYSCO/FRITO EIAY 31831 6586721 26 98 26 98
TUTE
GROUP TOTAL****
TnutiTtltil'APW4gPANAYAITREZICP=Wa4WW:404WYkftrgONIPX 665 KUMW
IMSWrACKERVLEINUCE'ft5PRING2MTUFRTSW=MUAtVVORI R6ffifflat2020;A2
g4§IPV ■WI$RgWWWPEMligqgPgaglINTI1MNqm nm'MPJ9494MaM7 MN1 13W
TOT Cc
18
C*1 IRF
12.4
C;RCICS. WT
171
NO. PCS
DELVD.
OPEN: 7 CFO AM
C U S T. Ian, ED INVOICE EVIDENCES RECEIPT OF
SIGN
CLOSE: 4:00 PM
AL I TE MS
NO, PCS
REC.
4:IP9t7tviliVEYPERNTT:ivigfirirMili"91,P,INEATIVRIc'ERNig LISTED ON THIS INVOICE ARE SOLD SI
FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES. NO ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF
THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.'
7/16/10.
7008
50E3
412940 007160621
um BE
4
1
Pi iNi ZEZDEP
TERMS PAST otie BALANCES ARE .SNEJECI TO SERVICE CHARGE.
30 DAYS FROM DATE OF INVOICE
MANIFEST# 384400 NORMAL DELIVERY
MA: SN139 GARY LEVERENZ
DRIVER: PARKER, JEFF
P.O. BOX 7137
INDIANAPOLIS, IN
46206
PAYABLE ON OR BEFORE
CONFIDENTIAL PROPERTY ,OF SYSCO
SUB
TOTAL
TAX
TO I AL
INVOICE
TOTAL
CONT. ON PAGE 2
Good thi ngs
come from
BROOKSHIRE GOLF CLUB Sl/SC®
12120 BROOKSHIRE PKWY
CARMEL IN 46033 4000 WND62NDPSTIS, LLC
INDIANAPOLIS, IN 46268
317 846 7431
CITY OF CARMEL
1 CIVIC SQUARE
r�LSTQNIER CONFIDENTIAL PROPERTY ,OF SYSCO
5051
EUST6MER I )ItitVOICE NUMBER �I�PAGE
412940 007160621 4 2
f?ELY L M
7/16/10
TR CK,:S OP
(00
ROLL .J I C 1A F nRn
TERMS PAST: DUE.BA.LaNCES.ARE:SLBJECTiro SERVICE`CHAI�GiE`
30 DAYS FROM DATE OF INVOICE
MANIFEST 384 NORMAL DELIVERY
MA: SN GARY LEVERENZ
DRIVER: PARKER, JEFF
DRIVER'S
SIGN
PA Ci�
SIzE.
1 4 20 13.2
LB `.<BBRIAM1' SRI,AI CRI CKEN
GROUP TOTAL
2 .8
193
22
ESCRIPTION
NO. PCS
DELVE.
COST, SIGN 0 INVOICE EVIDENCES RECEIPT OF ALL ITEMS
SIGN
NO PCS
REC.
IMPORTANT q 7PPAT7CppAqq PROVIS H THE PERISHABLE IApGRISCU T S LISTED L ON THIS INVOICE ARE SOLO SLJ JECT
49 THE R OF T n W Oa MODITIES RET NS TRUST CLARIM ROV R nEu roM�j�}piTIES OAL I NVEtJTOR)IESIFS,C.
FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF
THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.
510 7'1 210!717
P.O. BO
INDIANA
PRICE AMOUNT:
s::REMtT ra
X 7137
POLI 4E.206 7137
PAYABLE ON OR BEFORE
8/15/10
EX:TENDEp
i:P!RICE'
:.:73%
106:34'
P
LAST PAGE
SUB
TOTAL
552.17
TAX
TOTAL
INVOICE
TOTAL
552.17
PO# Dept.
INVOICE NO.
ACCT /TITLE
AMOUNT
1207
007160621
42- 390.40
$552.17
VOUCHER NO. WARRANT NO.
Sysco Indianapolis LLC
4000 W 62nd Street
Indianapolis, IN 46268
$552.17
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF
Board Members
I 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
Wednesday, July 21, 2010
Director, Brooks re Golf Club
Title
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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.
Invoice
Date
07/16/10
Invoice
Number
007160621
Payee
,20
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Purchase Order No.
Terms
Date Due
Description
(or note attached invoice(s) or bill(s))
Food
Amount
$552.17
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
Clerk- Treasurer
BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY
CARMEL IN 46033
317 846 7431
CITY OF CARMEL
1 CIVIC SQUARE
PT
IN 46032_
Good things
siome from
SYSCO INDIANAPOLIS, LLC
4000 W 62ND ST
INDIANAPOLIS, IN 46268
Ct' §T O N ER O R ICINA I .I'NV E
HOU7E
4054
CONFIDENTIAL PROPERTY OF SYSCO
a_VsI a PAG_
7/29 1 412940 007291072
013
TER PAST OUE RA3ANCES ARE StSRJEC TO StRVICl; CHARGE
30 DAYS FROM DATE OF INVOICE
MA: SN GARY_LEVERENZ
DRIVER: MAY, JEFF
2
1
5,33.02
04
60 CT
240Z
5 GM
1 LB
23.502
500CT
100 CT
20
12CT
5 LB
5 LB
DRIVER'S
SIGN
3 23 16.8 408
DAIRY
•B RLCLS CHEESE AMER YEL 120 SLI
GROUP TOTAL
MEAT$
AB BEEF PATTY GRND $TKBRGR FRZN 9
•BRLCLS FRANK ALL MEAT 5X1 6 IN 37
G TOTAL
I'R CTY,BK CINNAMON BIG IW
CANNED,& DRY
AYS CHIP VARIETY 5YSCO/FRITO LAY
S E R EC KETCHUP SQUEEZE BTL
SE REC RELISH SWE
LBRLCLS S SPCY CREOLE
RIZONA TEA ICED ARNOLD PALMER LITE
GROUP TTAL
PAP ER &rDI O
►Y SCO FOIL SHEET 9XI0.751N SILVER`
.YSCO GLOVE POLY DISP CAST POLY LRG104 FHC
►YSCO. LINER ROLL 4X33 6MIC Z483
.GROUP TOTAL
PRODUCE
PACKER APPLE RED DEL FCY FRESH
'ACKER BANANA `FRESH
►YS IMP ONION RED FRESH JUMBO
'763151. 6
36
560 3
W6917'2 °6
16CPSY 8
.RNSROI 5
697114
703049
3773
5
26.98
26.70
28.25
31.36
21.59
1.70.37.
39.87
6.98
26.70
28.25
62.72
107
252 60.:>
13.77
a
ETitM D
E SCRIPUON.
I
M o P O yy RTAN TT T q TPPATTCppARR PROVISION: �J H THE Z PERISHABLE I A p GRICU TURAL ECOMMODITIES S L ON T 5 STTED L INVOICE ARE SOLO 5U_BJECT
499EE I. OF THESE RETAINgCA p TRUST CLARM THESEL H D
F000 OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF
THESE COMMODITIES UNTIL FULL PAYMENT 15 RECEIVED.
UfEN1: UNET TAX EXTENDED
COL?E;. PRECE AMbUNT PRICE
PAYABLE
ON
OR
BEFORE
ONT. ON PAGE 2
2
BROOKSHIRE GOLF CLUB+++
12120 BROOKSHIRE PKWY
CARMEL IN 46033
317
CITY OF CARMEL
1 CIVIC SQUARE
Good things
A
SYSCO INDIANAPOLIS, LLC
4000 W 62ND ST
INDIANAPOLIS, IN 46268
-ClicTONIEITSORIGINIALANVOICEI CONFIDENTIAL PROPERTY OF SYSCO
IN RI E ULi
7(29/10'
412940 007291072
2 2
:TERMS 'BALANCES ,ARE...,SUBjECT"Tra SERVICE CHARGE.
30 DAYS FROM DATE OF INVOICE
MA IMIIIIMISILMNIAMMS161111111111M
lhalfilf I
4094
DRIVER: MAY, JEFF
RD3R
DRIVER'S
SIGN
i]
21 23 16.8
408
NO. PCS
DELVE].
ITEM DESCRIP11ON
GROUP TOTAL****
CUST. SIGNED INVOICE EVIDENCES RECEIPT OF ALL ITEMS
SIGN
NO. PCS
REC,
IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SOLO SUBJECT
91 Q r F Ru T sq C *ENE u Vo Vivtgo EIrs
FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF
THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVEO.
28.70
P.O. BO
INDIANA
X 7137
POLIS, IN
46206
PAYABLE ON OR BEFORE
8/28/10
SUB
TOTAL
623.87
TAX
TOTAL
INVOICE
TOTAL
623.87
LAST PAGE
0
0
0
3,
2
2
ID
5
0
2,
c
0
0,
2
CI
0
0
0
A
A
2
2
0
3,
0
ID
m
2
2
PO# Dept.
INVOICE NO.
ACCT /TITLE
AMOUNT
1207
007291072
42- 390.40
$623.87
VOUCHER NO. WARRANT NO.
Sysco Indianapolis LLC
4000 W 62nd Street
Indianapolis, IN 46268
$623.87
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED
IN SUM OF
Board Members
I 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, July 30, 2010
Director, Brookhhire Golf Club
Title
20
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.
Invoice
Date
07/29/10
Invoice
Number
007291072
Payee
20
Description
(or note attached invoice(s) or bill(s))
Food
Purchase Order No.
Terms
Date Due
Amount
$623.87
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
Clerk- Treasurer