163069 08/27/2008 i
CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
s4� r,. ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COT�g
CARMEL, INDIANA 46032 C/O KEN MILLER CHECK AMOUNT: $596.64
CHECK NUMBER: 163069
d CHECK DATE: 8/27/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER T AMOUNT DESCRIPTION
1150 4238900 82.15 OTHER MAINT SUPPLIES
1150 4239040 452.78 FOOD BEVERAGES
1150 4350100 9.75 BUILDING REPAIRS MA
1150 4356007 51.96 GOLF HARDGOODS
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.
�y �h Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4 08 0.5 f ,ees� %e
So 3e,
8 iN 3 �9
-3 t o 1�.� 3
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
/l IN SUM OF
G/�Z -76
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3 O bill(s) is (are) true and correct and that the
gym, H 5 materials or services itemized thereon for
85 which charge is made were ordered and
2 Auwwtf 1 2 3 received except
1 2 8
3 �Z
51 S
20
Sign r� at re
pow=
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund