160993 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 358825 Page 1 of 1
ONE CIVIC SQUARE MISTER ICE OF INDIANAPOLIS
CARMEL, INDIANA 46032 7954 E 88TH ST CHECK AMOUNT: $240.00
INDIANAPOLIS IN 46256
CHECK NUMBER:. 160993
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
905 4353099 632121 240..00 OTHER RENTAL LEASES
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Mister Ice of Indianapolis.
7954 East 88th Street
Indianapolis, IN 46256
Ph# (317) 849 -4466, FAX (317) 578 -0750
Invoice 632121
t Date 06/05/2008
a
Bill to: -Installed:
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY
i` CARMEL, IN 46033 CARMEL, IN 46033
Lease Number: Terms: Due Date:
50993 PAY BY DUE DATE 06/20/2008
Description. Location Line Amt Monthly Amt
ICE MACHINE FIELD GARAGE 120.00
ICE MACHINE SNACK SHOP 120.00
Lease 06/20/08 thru 07/19/08 240.00
Subtotal 240.00
Sales Tax 0.00
Due This Inv. 240.00
Past Due Inv V613505 02/07/2007 7.20
Past Due Inv 630929 05/09/2008 240.00
Total Due 487.20
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06 -23 -08 A09:12 IN
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (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
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
90s
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
30 D-- 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
200
Mg t r
v
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund