HomeMy WebLinkAbout176895 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
*f ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF CO�g
0 CHECK AMOUNT: $360.13
CARMEL, INDIANA 46032 C/O PAM LISTER
CHECK NUMBER: 176895
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4230200 71.76 OFFICE SUPPLIES
1207 4239040 288.37 FOOD BEVERAGES
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
�91 7 S Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
d C
d 1, S
3 9 l
J3 t� 030, Clb
�4
d4 �5s!
Total Q, /g
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 ,26 7 p U ,9,g 7 bill(s) is (are) true and correct and that the
go,:; -cry materials or services itemized thereon for
which charge is made were ordered and
received except
v I 20 Q
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund