HomeMy WebLinkAbout157301 03/11/2008 f CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
0 ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COU�RT
CARMEL, INDIANA 46032 C/O PAUL BLOCKOMS I fECK AMOUNT: $375.32
CHECK NUMBER: 157301
CHECK DATE: 3/11/2008
DEPART ACCOUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4236400 3.49 PAINT
905 4239040 120.84 FOOD BEVERAGES
905 4239099 10.99 OTHER MISCELLANOUS
905 4350900 35.00 OTHER CONT SERVICES
905 4355300 140.00 ORGANIZATION MEMBER
905 4357004 65.00 EXTERNAL INSTRUCT FEE
Costa' Wholesale
RECEIPT
Business Executive
M ember# 111765 610415
Member Name: PAUL BLOCKOMS
Membership Fee: $140.00
Payment Type: CK
Date: 03/05/2008 Whse: 346
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?Order Summary
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I i �3 Contact Information
Eddie (W.) O Ededuwa Phone: (317) 440 -8626
13017 E 131st St Email: ededuwa @pga.com
Fishers, IN 46037 -5940 j
United States of America
Badge Name: Eddie (W.) O Ededuwa
i
Affiliation: Brookshire Golf Club
�r 2008 Indiana Section PGA Spring Meeting (03/03/2008 thru 03/04/2008)
The Holiday Inn North
Indianapolis, IN
i
Item Day Time Qty Price Total Price Total
2008 Spring Meeting Monday, March 03 08:00am Tuesday, March 04 05:00pm 1 $65.00 $65.00 $65.00 i
Paid By: VISA Payment Amount: $65.00
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER,
CITY OF CARM'EL
.,/An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates'per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order,
Terms
4 Date Due
Invoice Invoice Description, Amount
Date Number (or note attached invoice(s) or bill(s))
31 US 3
v8 T cJ tit" s 1 0 o0
2A o$ omkut., S n a5t c L. A4.3 //L Z� ajo S o�
W v? U 'u. S %.j K2 -t1 'f
Z Ot va oSZ C.O Vv<c_,� S .q P 4) a U. L
,S `o$ o' r* gig 3o. 2.1
Total 344%
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1 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.
i
ALLOWED, 20
t�v k S V^ QA_ 6 L l -L-13 I N SUM OF
V O
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT.
DEPT. I hereby certify that the attached invoice(s), or
CA c bill(s) is (are) true and. correct and that the
C- Lc- 2 materials or services itemized thereon for
CAL 3� of which charge is made were ordered and
2.18 S O D L0, received except
C-Q-r- 42-1U 0a
c-n-L 3so( oo l.$�
20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund