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HomeMy WebLinkAbout195963 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 355486 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA ALCOHOL TOBACCO COMM CARMEL, INDIANA 46032 302 W WASHINGTON ST ROOM E114 CHECK AMOUNT: $25.00 INDIANAPOLIS IN 46204 CHECK NUMBER: 195963 CHECK DATE: 3/29/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 25.00 FOOD BEVERAGES Server Trainer Program Order Form Please indicate the number of programs that you'd like to purchase. SERVER ($25) TRAILER ($25) (Please list the name and address where you would want the program(s) sent.) Name ���i� �a�L,;'r ��v C�0 L�J Address C r cb 1 G p W C- 6, r- Phone 9 l E -mail address A A y C Please send a MONEY ORDER or BUSINESS CHECK made payable to the Indiana Alcohol Tobacco Commission, along with this order form to: Indiana Alcohol Tobacco Commission Attn: Server Training 302 W. Washington St., Room E -112 Indianapolis, IN 46204 PLEASE DO NOT SEND PERSONAL CHECKS OR CASH OR YOUR ORDER WILL BE RETURNED. VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Alcohol Tobacco Commission IN SUM OF 302 West Washington Street, Room E 114 Indianapolis, IN 46204 $25.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 42- 390.40 $25.00 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, March 28, 2011 J Director, Broo 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. 199, 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)) 03/17/11 Server Software $25.0 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