173701 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362995 Page 1 of 1
ONE CIVIC SQUARE A 2 Z PROMOTIONS
CARMEL, INDIANA 46032 14074 TRADE CENTER DRIVE SUITE 220 CHECK AMOUNT: $549.87
FISHERS IN 46038 CHECK NUMBER: 173701
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239099 7146 549.87 OTHER MISCELLANOUS
14074 Trade Center Drive Invoice
Suite 220 DATE INVOICE#
Fishers, IN 46038
promotions 6/10/2009 7146
BILL TO SHIP TO
Brookshire Golf Club Brookshire Golf Club
Pam Lister Pam Lister
12120 Brookshire Parkway 12120 Brookshire Parkway
Carmel, IN 46033 Carmel, IN 46033
P.O. NO. TERMS
Net 15
ITEM DESCRIPTION QTY RATE AMOUNT
Eco Friendly Cup 16 Ounce 1,000 0.53 530.00
s H Shipping and Handling 1 19.87 19.87
Thank you for your business.
Balance Due $549.87
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 of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Sce.i ado
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
ALLOWED 20
IN SUM OF
4
Su:� aid
ON ACCOUNT OF.APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoices or
o 7.6 ZK 3 90 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sig{12tu���
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund