191397 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 359506 Page 1 of 1
0 ONE CIVIC SQUARE V G M FINANCIAL SERVICES CHECK AMOUNT: $790.71
CARMEL, INDIANA 46032 P O sox 77077
MINNEAPOLIS MN 55480 -7777 CHECK NUMBER: 191397
CHECK DATE: 10/2712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4353099 2079463 790.71 OTHER RENTAL LEASES
29239/001 i 1 287 619 0000022187
1111 West San Marnan Drive INVOICE
Waterloo, IA 50701
800 -643 -4354 (phone)
CQ� ervices 319- 83 3 -4577 (fax)
s morrey" m Involce.:No Invalce Date
2079463 10/14/2010 1
0000022187 "AUTO "MIXED AADC 350 For customer service contact: 800- 643 -4354
1.1 11I1I111111111111111111 1111 1111111111111111111 11111111..111 Please call customer service with any address
ATTN: PAUL BLOCKOMS changes or questions about your invoice.
BROOKSHIRE FIRST MORTGAGE LLC
12120 BROOKSHIRE PARKWAY
CARMEL IN 46033 -3314
CllstOfrler -Due
5 J.
w �accourit "Number,
�Irivolce Date r .•Nurnbern Date
4009604 10/1412010 2079463 11/0512010
Urr Past Due Past; Past Duey s Totai .ts
Contract No E° w Invoice DescrpUan eChae 4 i -3U Da s Y }31- 60`:Da s, a$- fii +aDa °.,Due.,'.
004 4009604 -001 KENNY- MULTIPRO1250
Payment Due 790.71 0.00 0.00 0.00 790.71
Total $790.71 $0.00 $0.00 $0.00 $790.71
We will impose a surcharge of up to $30 for any dishonored payment.
VOUCHER NO. WARRANT NO.
ALLOWED 20
\/6M Financial Services
IN SUM OF
P.O. Box 77077
Minneapolis, MN 55480 -7777
$790.71
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
1207 2079463 43- 530.99 $790.71 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, October 18, 2010
Director, Brook ire 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))
10/14/10 2079463 Lease Payment $790.71
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