196508 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF Co%%
CHECK AMOUNT: $13.96
CARMEL, INDIANA 46032 CIO PAM LISTER
CHECK NUMBER: 196508
CHECK DATE: 4/13/2011
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 5.97 OTHER MAINT SUPPLIES
1207 4239040 7.99 FOOD BEVERAGES
FS
M
Fishers
9540 Masters Rd
Indianapolis, IN 46250
(317) 845 -0712
www.sfsmarketplace.com
fMix
5786191
Sweet Corn Bake 1- 8.99
2069501
TAX 0,00
BALANCE 16.98
APPROVED PZoR19050304091 713631 S5
JOWL 16.98
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD 2
03/27/11 03:36pm 1905 4 5787 39040
IIIIIIIIIIIIIIII 111111111111 1 1111111111111 1 11111111
80190500457871103271536 r
Store 1905' Lane 4
Transaction 5787 Operator 39040
a
You could win $500
in FREE sroceries!
Please visit
www.afsmarketplace.com /survey
and tell us how we are doing.
Must be 18 years old.
See website for details
U ����U l7�� ������m�
U'�����~���
4766 E. 126TH ST.
CHRMEL. IN q6033
(317)844-13Y2
l q0 H8d Ui(S SU08 LGE 1 99 F
l |qO HXH 8KG SUUH LCE 99 F
11qV HiH 8KS GDDA LGE i Y9 F
TAX 00 8HL S.97
U'HALlR 0206
q7SS E 126l11 S|
C8RMEL' IN -1603]
{]1Y)891-q�71
EFf CREDO P1.1 RCUU66~ O3 17 11 11 q PM
n XXXXxXxXxXXioow
.HU|H:0)9132
PAYMENT AMOUNT 3.97
`VF CR0[T 5 97
CHH .00
0THL NUMBER OF ][EMS SOLD 3
3/17/11 12:11 PM 006 70 0026 176
YOUR Co5HIEH'WHS OFFICE
Tu���U ��U �OC3 ���OC]OT�[�
//xx�/� /uu FOR SHOPPING
'�/nu
���|T��
/m��//
CHECK US OUT: http://wuw�umal/my�com
C1 HAIRCUTS D
Ij Carmel 126th Gray Location
0 o (In O'Malia's Shopping Plaza) 8
u PLUS 13
o
p
Bill Receive U OO For Every
Ticket That Is Redeemed! Q a
o
o D
Valid only at Carmel SporKlips. this coupon may not be copied, bartered
or sold. limit 1 coupon per visit. Not valid with an other offer. No cash value. 2x
Expires 06.15.11 MAR206FMA 46033 2700
D
Experienced Outside D
Sales Reps
R Hove You Sold...
Business Advertising Newspaper Z
o Yellow Pages Money Mailer n
o Val-Pak Door to Door D
Go to www.rtul.com to submit a resume
o
a
w
O
HAIRCUTS 3
Carmel 126th Gray Location a
(In O'Malla's Shopping Plaza) z
PLU El
Will Receive $2.00 For Every o 0
Ticket That /e Redeemedl o
m
e N
Z
O. Q
D
Valid only at Carmel SportCGps. This coupon may not be copied, bartered
or sold. limit 1 coupon per visit. Not valid with on other offer. No cash value. w
Expires 06.15.11 MAR206FMA 46033 2700 g
a
w
u,
ro
Click Here
for Savings!'J
D
wAnA mat rte n n
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 1995)
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
1 f� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
66pp-2 "!P-1 i
ZZ -1 7
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
-390 yp materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signat r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund