191462 10/28/2010 CITY OF CARMEL, INDIANA VENDOR: 364842 Page 1 of 1
ONE CIVIC SQUARE KATHLEEN VASIL
CHECK AMOUNT: $180.00
CARMEL, INDIANA 46032 3779 SIMMERMAN CT
M;�oe CARMEL IN 46033 CHECK NUMBER: 191462
CHECK DATE: 10/28/2010
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 180.00 TIPS
ofla cQ Brookshire Golf Course
C 12120 Brookshire Parkway
0 Carmel IN 46033
Ph. 317.846.7431
�v Fax 317.846.9980
OF CAR www.brookshiregolf.com
The following is the tip break down for the ESI Outing for 2010.
Debbie Eggert (Breakfast, Lunch and Dinner) $301.86
Michelle Chapman (Beer Cart and Dinner) $225.00
Kathy Vasil (Breakfast and Lunch) $180.00
If you have any questions please feel free to contact me.
Pam Lister
317.846.7422 Direct
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Invoice No. 08.31.2010
Brookshire Golf Club Bill To ESI
12120 Brookshire Pkwy Address
Carmel, IN 46033
317.846.7431
brookshiregolf.com Phone 317- 596 -9891
E -Mail JReismanC�esitechadvisors.com
Deposit Received 0.00
Invoice Subtotal
Tax $406.74
Invoice Total O e e
Total Amount Due! 4 67 3- 0 0
Amount Paid $0
0. B- e
8/27/2010 '85 golfers $45 $3,825.00
Gift Cards $810.00
Breakfast $200.00
100 lunch Buffet $10.95 $1,095.00
100 Dinner Buffet 18.95 $1,895.00;
Beverages for Beer Cart and Coolers $1,522.40'F
15 Gratuity on F B $706.86:
TaylorMade R9 Driver $212.00
Deposit:
Tax Food and Beverage 8% i $376.99'
Tax on Cart 7% $29.75
Amount Due $0
Subtotal i
Tax 4o.
GRAND TOTAL. e e e
Tax Exempt
Thanks for letting us serve you!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kathleen Vasil
IN SUM OF
3779 Simmerman Court
Carmel, IN 46033
00 1'0
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 ESI TIP 42 390.40 $200.00 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 25, 2010
Director, Brooks N ir e 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))
10/25/10 ESI TIP ESI Tip $200.00
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
20
Clerk- Treasurer