160174 05/29/2008 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
`4 0 ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF C OCK AMOUNT: $293.27
o CARMEL, INDIANA 46032 Cho EDEDUWA
CHECK NUMBER: 160174
CHECK DATE: 5/29/2008
DEPARTMENT A CCOUNT PO NUM BER I NVOIC E NUMBER AMOUN DES CRIPTION
905 4239040 252.29 FOOD BEVERAGES
905 4239099 40.98 OTHER MISCELLANOUS
i
Prescribed by-State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 207 (Rev. 7995)
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
/6- eSh Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amoun
Date Number (or note attached invoice(s) or bill(s))
oB C_ Al— 4-o1.
CC 14
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
d oo- �d -5
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
y2 D�� �u bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
C.P_C received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund