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189674 09/14/2010 a CITY OF CARMEL, INDIANA VENDOR: T358633 Page 1 of 1 ONE CIVIC SQUARE AUNT MILLIE'S BAKERIES CHECK AMOUNT: $49.34 CARMEL, INDIANA 46032 7651 GEORGETOWN RD INDIANAPOLIS IN 46268 CHECK NUMBER: 189674 CHECK DATE: 9114/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 007735224610 49.34 FOOD BEVERAGES Runt Willie s o;.Keries____ rni uvuz)'zoio io:oz PAGE 1 ROUTr TT33 7651 Georgetown Rd. PAGE *Indianapolis, In 46268 *Phone: (317) 872 -0307 *GEORGETOWN DEPOT #18 INVOICE 0077352246 ACCOUNT 29111 BROOOSHIRE GO &PCOUNTRY CLUB CARMEL, IN.46032 SALES DESCRIPTION PRICE EXT AMT OTY ITEM# UPC 2.0900 6.2700 3 157 0- 7131400050-5 AM WHITE SAND 2202 2.0900 6.2700 3 1166 0-7131400051-2 AM WHEAT SAND 2202 2.3000 13.8000 6 1632 0- 7131400855-6 AM 16CT HAMBURGE 2.3000 23.0000 10 1640 0-7131400856 -3 AM 16CT HOTDOG TOTAL SALES 49.3400 22 TOTAL SALES 49.34 TOTAL RETURNS 0.00 NET 49.34 PREVIOUS BALANCE 137.66 CASH AMOUNT DUE 187.00 TLI Uflll SIGNATURE VOUCHER NO. WARRANT NO. ALLOWED 20 Aunt Millie's Bakeries IN SUM OF 7651 Georgetown Road Indianapolis, IN 46268 $49.34 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 007735224610 42- 390.40 $49.34 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 Tuesday, September 07, 2010 2�� 4 4W Director, Brookshire 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)) 09/03/10 007735224610 Bread $49.34 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