158749 04/23/2008 I
CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COUR CFIECK AMOUNT: $108.09
CARMEL, INDIANA 46032
CHECK NUMBER: 158749
CHECK DATE: 4/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 s 4239040 108.09 FOOD BEVERAGE
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Mlbib AMERICA INVOICE
BROOKSH I RE: FIRST MORTGAGE
dba BROOKSHIRE GOLF CLUB
12120 BROQKSHIRE- PARKWOY
1111C.
2755 .Commerce Dr. C'ARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 2856
765- 459 -3117
800- 382 -0675
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
04/08/08 .347887 DAVID HULSE`{ 13 800 13
QUANTITY DESCRIPTION
BASE APRIL 1', 2008H
PROMO #0408A
PUMP $40/$33 REFUNDABLE
109 .2 "BUD LSE CANS 15.50 31.00
209 2 BUD LT LSE CANS 1.5.50 31.00
f
:Cases -4
TOTAL SALE 62.00
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY
A13,1/2 30:00
10405 EMPTY AB 1/4 30.00 A
10310 EMPTY IMPORT 1/2 30.00 N J
9230 PUMP DEPOSIT 33.00
9270 IMPORT PUMP DEPOSIT 33.00 62. 0 0.
TOTAL
CREDITS
X❑ Cash El EFT Escrow Check Number U
Driver r Received By
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Prescribed 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 bf hours, rate per hour, number of units, price per unit, etc.
R Payee
1 R�ovcs W t. C k Purchase ,Cirder No.
I
&y 1 Terms
Date "Due
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill(s))
0 8 C, F S of P L. I L I Zb 2-S
16 o c7 r 6.� F d &if P I►«£..S� 1 of
q-1 08 0 F Pt-LcJ 3. .S
a hV`�R.► c ✓/cam dJ
Total 0 O
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
V ,x y''_ NO. WARRANT NO.
ALLOWED 20
IN SUM OF
N t>
O a
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO# or
D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby cg`rtifyathat the attached invoice(s), or
CA-c- 4 2,3 8 o�
,Z bill(s) is (ar true and correct and that the
CLC 1�L38�oa �-_oj ".materials or services itemized thereon for
C1t.L Z3 ToJ 3.� which charge is made were ordered and
D (,z,oJ 'received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund