156721 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 358825 Page 1 of 1
ONE CIVIC SQUARE MISTER ICE OF INDIANAPOLIS CHECK AMOUNT: $120.00
CARMEL, INDIANA 46032 7954 E 88TH ST
INDIANAPOLIS IN 46256
CHECK NUMBER: 156721
CHECK DATE: 2/21/2008
DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4353099 627261 120.00 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 627261
Date 02/05/2008
Bill to: Installed:
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY. 12120 BROOKSHIRE PKWY
CARMEL, IN 46033 CARMEL, IN 46033
Lease Number: Terms: Due Date:
50993 PAY BY DUE DATE 02/20/2008
Description Location Line Amt Monthly Amt
ICE MACHINE SNACK SHOP 120.00
Lease 02/20/08 thru 03/19/08 120.00
Subtotal 120.00
Sales Tax 0.00
Due This Inv. 120.00
Past Due Inv 613505 02/07/2007 7.20
Total Due 127.20
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PLEASE RETURN YELLOW COPY W /PAYMENT THANK YOU
A charge of 1.5% per month will be added in the event invoice not
paid in 30 days.
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
iS O�rO Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0�0�
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.
�S�BaS
ALLOWED 20
IN SUM OF
7
tjA�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3D nv 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
20 J
Sign t re.
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund