180925 12/30/2009 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: $324.70
CHECK NUMBER: 180925
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMB ER AMOUNT DESCRIPTION
1207 4239099 69.98 OTHER MISCELLANOUS
,1207 4350000 50.37 EQUIPMENT REPAIRS M
1207 4356007 20.00 GOLF HARDGOODS
1207 4359500 184.35 PETTY CASH
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1755 E. V26TH S7.
CARMEL. IN 16033
(317)841-4372
4040 DHOS 0Rl6 CAI p0OV
To; 6 onL 6 7�
ceso /o no
CxowsF �a
TOTAL NUMBER OF l7EnS SOLD
12/28/09 P 0Z0 O} 0l/8 l6 3
THANK YOU FOR SoOPP[wG nT n'ha lo
YOUR CASkIER moRG[
CUSTOMER SERVICE. IS #1 WITH 0'mnqTo
LET OUR STORE m6R RECK Sn/�x
KNOW H00 AE ARE UOIN6
CHECK US OUT: http�//wwv ommi�as con
MCNAMARA FLORIST
301 EAST CARMEL DRIVE
CARMEL, IN 46032 -0000
(317) 579 -7900
Mocie: Online Rey Id: M4 Store 004
Payment Type: CREDIT CARD
Trans Number: 02772116
Date /Time: 12/16/2009 03:05PM
Salespperson: 0210 VIRGINIA C
Delivery Metiod: Delivery
Ot Descri tion Price
AND BLOOMING PLANTS IN A BASKE
MCP05
Sub Total: 55.00
Delivery Chg: 9.99
Tax Amount: 4.55
Total 7T77
Customer: PAM LESTER
Recipient: KIM MILLER
CC Type: VI
Credit Card Num: XXXX XXXX XXXX 6461
Expiration Date: XX /XX
Auth Code: 040415
Authorized Amount: 69.54
APPROVED
Customer Copy#
4 z
0
U O O D
O
Z a N 69
m X City Form No. 201 (Rev. 1995)
�o
w kYABLE VOUCHER
m 0, a ►F CARMEL
m a
r, n o
)f service, where performed, dates service rendered, by
v o iber of units, price per unit, etc.
�w w t
Cr o o N
a W.
Cr
L ,j o Purchase Order No.
Terms
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
ON ACCOUNT OF APPROPRIATION FOR
J:2-
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�`9s -c1z>35 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
�CC 1(0 20 O
Sign t e
m /5✓ n-,—
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
3210 E. 96TH ST. P.O. BOX 40319
INDIANAPOLIS, INDIANA 46240 -0319
S (317) 846 -6666
CHEVROLET Chevrolet Parts
Direct (317) 846 -2564
Indiana (800) 692 -6370
National Wats (800) 533 -6602
PENSKE CHEVROLET
THANK YOU FOR YOUR BUSINESS!!
PARTS HOURS 8:OOAM TO 5:30PM
MONDAY THRU FRIDAY
TAX EXEMPT CUST. P. No PAY SOLD DATE D ICE
69439 00 TRK PENDING RANDY BALL 12/23/09 460034
CVw
317- 420 -9467
B S
I BROOKSHIRE GOLF CLUB H
12120 BROOKSHIRE PKWY P
T CARMEL, IN 46032 T
0 0
Q UANATITY
PART NUMBER SHIP B.
DESCRIPTI
1 0 15717834 PIPE 4.128 SP ORD 33.69 25.26 25.26
1 0 15812029 PIPE 4.128 530A 33.48 25.11 25.11
PAID IN �LJ�
CASH viC IaA p1'S
C; 3 AE: OT I"
C< #rTE
IN ITIALS
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DISCLAIMER OF WARRANTIES
s oTAL 50.37
O Any w ranties on the products s,Id hereby are those made by the manufacturer. The Seller, Penske Chevrolet. hereby expressly disclaims all warranties,
W either expressed or implied, including any implied warranty of merchantability or fitness for a particular purpose, and Penske Chevrolet, neither assumes nor
authorizes any other person to assume for it any liability in connection with the sale of sold products.
U_
S
d SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. ELECTRICAL PARTS NOT RETURNABLE.
18% HANDLING CHARGE FOR RETURNED ITEMS. TAX 0.00
WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP.
a RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER.
ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS.
a
RECEIVED BY: NO REFUNDS WITHOUT
P
FREIGHT 0.00
Q THIS INVOICE 50.37
11 35 51 CUSTOMER COPY NFT519 PAY THIS AMOUNT PAGE 1 OF 1
PSK- 2020 -C www. penskechevy.com
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
aS H Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
%i'aO y 4
o 5 n-)
0 GO
Total D
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
bill(s) is (are) true and correct and that the
j 46 materials or services itemized thereon for
which charge is made were ordered and
6 1,0 received except
20 0�
S' nature
�u11/
Cost distribution ledger classification if Itle
claim paid motor vehicle highway fund