163101 08/28/2008 CITY OF CARMEL, INDIANA VENDOR: 361720 Page 1 of 1
ONE CIVIC SQUARE DEBRA MONTGOMERY
CARMEL, INDIANA 46032 12120 BROOKSHIRE PARKWAY CHECK AMOUNT: $65.06
CARMEL IN 46033 CHECK NUMBER: 163101
CHECK DATE: 8/28/2008
&EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4341999 65.06 TIPS
i
Carnel, IN 46033
I%
317- 846 -7431
Transaction r#: 56045 Invoice No. 06.17.08
Date: 6/17/2008 Tine: 8:02:52 PH Bill To
Cashier: 101 Register 0: 1 Address
G Southa
Iten Description Anount Phone 317.509.2258
E -Mail
1001194 OUTING 18 GF TAX ABLE $2,948.80
80 $36.86
1001204 HANDATORY 18 CART 5160.00 Deposit Received
80 $2.00 Invoice Subtotal
1001402 LARGE RANGE $240.00 Tax Rate
24 9 S10.00 Invoice Total 6,849.44
1000100 GIFT CARD $700.00 Total Amount Due 6,349.44
2002132 IN BRNR LOP 360 $6.25 Amount Paid l �t7 s CSI Z7
Discount (SO.50)
2002132 IN BRNR LDP 360 $6.25 1. r
Discount (SO.50) golfers 52.00 $4,160.00
2002132 IN BRNR LDP 360 56.25
Discount (SO.50) buffet lunches 7.95 $651.90
2002132 TV, BRNR LOP 360 $6.25
Discount (50.50) buffet dinners 18.50
$1,s17.0o
2002132 IN BRNR LDP 360 S6.25
Discount (SO.50)
2002132 IN BRNR LDP 360 S6.25
Discount ($0.50)
2002132 1I1 BRHR LDP 360 $6.25 erson per quote 78.45
Discount ($0.50)
2002132 IN BRNR LDP 360 S6.25
Discount ($0.50) es tax on food per contract $195.20
2002132 IN BRIM LDP 360 S6.25 2 x 26.45)
Discount ($0.50)
2002132 IN BRNR LDP 360 S6.25 iratuity on food per contract $325.34
Discount (SO.50) B2 x 26.45)
2002132 TH BRNR LDP 360 S6.25
Discount ($0.50)
2002132 IN BRNR LDP 360 56.25 1� 7 5c)UV -1 le-P DV TI /N(T
Discount ($0.50) (`lk? fyf z wrJ�CS�
2002132 IN BRHR LDP 360 $6.25
Discount ($0.50) �&4TV/ 7Y d l r/ L"Z f i sw
2002132 IN BRNR LOP 360 S6.25
Discount (SO.50) Ei
2002132 TH BRNR LDP 360 $6.25
Discount (50.50) N/A
2002132 TH BRHR LDP 350 $6.25 A
Discount ($0.50)
a
3003999 Hisc Open Fees $1.56 �;1 l i s l: )er the above
Discount ($0.10) i
$6,849.44
9009010 BmIQUET FOOD TAXABLE $651.90
H-19010 BANQUET FOOD TAXABLE $1,517.00 J
40
BANQUET GRATUITY $325.34 `J
IfiJ if ICJ UI Iuilt- cu aiiva e£
ca and further hold hartlless Brookshire Golf f t to
Club fron any danages setforth above. 110 one under
the age of 16 is alloued to operate a golf cart
Prescrrt id by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
'J�QC D Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total S
1 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
�6� ",;4
IN SUM OF
TAJ 3_
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/SU ,5"60 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
xo� t4 4:
:Sint
Cost distribution ledger classification if TitleV
claim paid motor vehicle highway fund