166453 12/02/2008 CITY OF CARMEL, INDIANA VENDOR: 362219 Page 1 of 1
ONE CIVIC SQUARE GUIDE BOOK PUBLISHING CHECK AMOUNT: $355.00
CARMEL, INDIANA 46032 PO BOX 240430
y oN BALLW N MO 63024 CHECK NUMBER: 166453
CHECK DATE: 12/2/2008
A DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
te
=1150 4346500 142BROO7808 355.00 CITY PROMOTION ADVERT
INVOI \L/
GUIDE BOOK PUBLISHING
P.O. Box 240430
Ballwin, MO 63024
St. Louis Area (636) 391 -2121 Other Areas (800) 597 -3037
October 30, 2008
Terms: Payable Upon Receipt
BROOKSHIRE GOLF CLUB
DAVE VAN BRUAENE Account Number: 142 BR0078 2008
12120 BROOKSHIRE PARKWAY Sales Date: October 22, 2008
CARMEL IN 46033 Sales Representative: SSG
Book Name: Carmel Lutheran Church Carmel
Ad Size: 1/4 Page
Ad Location: Inside Pages
Ad Layout: Horizontal
Your advertisement to be placed in
the annual Guide Book and Directory $365.00
Payments Made Date Received
$0.00
Total Paid $0.00
Total Balance Due $355.00
Cut here and return lower portion with payment.
Please make check payable to:
GUIDE BOOK PUBLISHING
P.O. Box 240430
Ballwin, MO 63024
Please reference your Account Number on your check:
142 BR0078 2008
THANK YOU WE APPRECIATE YOUR BUSINESS!
Prescribed try 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Z 6ltrow If _204 C�
Total �a
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
Gj)ljj 1�'lD,n2
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
;.W 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
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund