203582 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COURS
�c CARMEL, INDIANA 46032 C/O PAM LISTER CHECK AMOUNT: $119.11
CHECK NUMBER: 203582
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION
1207 4239040 60.00 FOOD BEVERAGES
1207 4239099 7.39 OTHER MISCELLANOUS
1207 4356006 51.72 GOLF SOFTGOODS
Prescribed by State Board of Accounts City Farm No. 241 (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
o: Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
w 1 3 9 L) rr
Q' s .J9
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
C"a i
42 o 6640 6weS
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
67 2A materials or services itemized thereon for
p which charge is made were ordered and
received except
20 I
S' natur
G� �1Y? jzr, 4
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund