163311 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 358825 Page 1 of 1
ONE CIVIC SQUARE MISTER ICE OF INDIANAPOLIS
QJ� CHECK AMOUNT: $240.00
CARMEL, INDIANA 46032 7954E 88TH ST
INDIANAPOLIS IN 46256 CHECK NUMBER: 163311
CHECK DATE: 9/3/2008
"DEPAR AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4353099 23210 240.00 OTHER RENTAL LEASES
i I
Lease Invoice
�t
Invoice No: 23210
Date: 08/20/2008
OF INDIANAPOLIS Due Date: 08/20/2008
Terms: Due Upon Receipt
7954 East 88th St. Cust PO:
Indianapolis, IN 46256 Reference: Monthly Service
Tel. 317 849 -4466 Lease 50993
Fax. 317 578 -0750 AcctNo: 50993
Billing Address: Location Address:
Carmel Redevelopment Commission Brookshire Golf Club
12120 Brookshire Parkway 12120 Brookshire Parkway
CARMEL, IN 46033 CARMEL, IN 46033
Item No Description Qty Unit Price Extended
OE -LEASE Full Service Lease for FIELD GARAGE 1.00 MONTH $120.00 $120.00
ice machine
OE -LEASE Full Service Lease for SNACK SHOP 1.00 MONTH $120.00 $120.00
ice machine
Blank Acount Numbers indicate invoices prior to June 2008
Open Invoices as of: 7- Aug -2008
Invoice Location Account Company Amount Due Date
21709 50993 Brookshire Golf Club $240.00 07/20/2008
338101 $76.00 04/11/2008
613505 $7.20 02/20/2007
632121 $240.00 06/20/2008
Tear Off Return With Payment
for proper credit.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill O 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))
2- 12- 02 o
95/, o b 7,
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
�d;cs
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
X217,9 jv- 11 bill(s) is (are) true and correct and that the
336 1 �q materials or services itemized thereon for
/3-5 which charge is made were ordered and
0 ),/,2. received except
X321 v
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund