HomeMy WebLinkAbout196508 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
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80190500457871103271536 r
Store 1905' Lane 4
Transaction 5787 Operator 39040
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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
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Expires 06.15.11 MAR206FMA 46033 2700
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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