161999 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF C0 T%CK AMOUNT: $218.81
CARMEL, INDIANA 46032 C/O KEN MILLER
o „o CHECK NUMBER: 161999
CHECK DATE: 7/2312008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4230200 6.00 OFFICE SUPPLIES
905 4239040 146.59 FOOD BEVERAGES
905 4239099 6.48 OTHER MISCELLANOUS
'905 4350100 9.75 BUILDING REPAIRS MA
905 4463000 49.99 FURNITURE FIXTURES
i
t
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
0 0 C&& Purchase Order No.
p L.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7-
-7-18 -08 (t
745' ms's
1 Total O, cg
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
401-te Olt IN SUM OF
714- ",IC�
ON ACCOUNT OF APPROPRIATION FOR
c t
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
OD bill(s) is (are) true and correct and that the
q 55 2- J 9040 I46. 'f materials or services itemized thereon for
7 3850 c`���a which charge is made were ordered and
OAAt+(# rA q .,Gj received except
6 o qq
20
Ignature
Cost distribution ledger classification if
itle
claim paid motor vehicle highway fund