HomeMy WebLinkAbout203128 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF CO
CARMEL, INDIANA 46032 C/O PAM LISTER CK AMOUNT: $13
CHECK NUMBER: 203128 128
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1.07 FOOD BEVERAGES
1207 4350000 130.97 EQUIPMENT REPAIRS M
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
YID, 9
a D' 6
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
LIU IN SUM OF
ON ACCOUNT O APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
cZ, o J' �7 bill(s) is (are) true and correct and that the
�79 j l yd 1 materials or services itemized thereon for
which charge is made were ordered and
received except
®C� 20
Signat
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund