HomeMy WebLinkAbout179804 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF CO _-%CK AMOUNT: $38.00
CARMEL, INDIANA 46032 C/O PAM LISTER
CHECK NUMBER: 179804
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
-1207 4239040 30.00 FOOD BEVERAGES
•1207 4351100 8.00 CAR CLEANING
Z+ Mike's Carmel
1250 Rangeline Road
317 -571 -1929
B29PTT3
11/13/2009, 01:44 PM, Shift 1
Empl 31133, Sale 60985401347
EXPRESS H.UG
1
Subtotal 8.00
Sales Tax 0.00
Total s0
Cash 8.00
2 7
Protect your
paint, ask for
The Works l
mikescarwash.com
WAMERICA INVOICE
BEWRAG BROOKSHIRE FIRST M!ORTGAG'E
E dba BROOKSHIRE GOLF CLUB
IN
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 RR2903542 EXP. 07/13/10
765- 459 -3117
800 382 -0675 Thursday Delivery
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
11/12/09 400036 Dustin Smith 13 800 13
'C DESCRIPTION FRIC D IT AMOUNT,
BASE November 2, 2009A
PROMO #1109A
PUMP $40/$33 REFUNDABLE
225 1 Bud Lt 1/4 BBL 42.50 30.00 72.50
760 1 Goose Wheat 312 1/6 BBL 55.00 30.00 85.00
a
can Ipxi >ti s
1/4 Barrels 2
PROD.CODE CITY DESCRIPTION TOTAL SALE 157.50
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
i
10310 EMPTY IMPORT 1/2 30.00
9230 PUMP DEPOSIT 33:00
9270 IMPORT PUMP DEPOSIT 33.00 K 157.50
0 CREDITS
Cash EFT Escrow [)(Check Number U
Driver Received By
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
a a S 14 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05 Op F D
�6 0
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
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
'1 {/UO) 3 96 30,Ct7 bill(s) is (are) true and correct and that the
09 S` o 194 Y C/b materials or services itemized thereon for
which charge is made were ordered and
received except
t4, L/ zD 20 6
nature
Cost distribution ledger classification if Ti e
claim paid motor vehicle highway fund