167676 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF CO�g
CHECK AMOUNT: $32.01
C/O KEN MILLER CARMEL, INDIANA 46032
i•.
CHECK NUMBER: 167676
CHECK DATE: 1/7/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1207 4239040 15.21 FOOD BEVERAGES
1207 4342100 16.80 POSTAGE
t<
CARNEL RETAIL STORE
CARMEL, Indiana
460329998
1740350814-0091
12/22/2008 '800)275-8777 02:10:30 PH
Sales Receipt
Product 3Ol8 Unit Final
D8SCr10t1UD Qty Price Price
$8.40 l $8.40 $8.40
Holiday
NUtCrdCk8[S
P3A
Double-Sided 8klt/20
$8.40 1 $8.40 $8.40
Holiday
NUtC[dCk8[G
P3A
Double-Sided Dklt/20
Total: $16.80
Paid by:
Cash $20.00
CAdUg8 Due: -$3.20
Order st8N0a at USP3.C8m/ShUp Or
Call 1-800-3t8Np24. GO to
U3P3.CD0/Cl1CkOSh1p to print
shipping labels With 0OGtOg8. For
other information Call
1-800-ASK-USPS.
8ill#:1000801772985
Cl8rk:U1
All sales final OO StoNpS and
postage
Refunds for gU8r8Dfe8d G8[YiC88 only,
Thank you for your bUGi088G
HELP U8 SERVE YOU BETTER
Go to: http://gX.g011up.uum/poa
TELL US ABOUT YOUR RECENT
POSTAL EXPERIENCE
YOUR OPINION COUNTS
CUStU08r Copy
0"MALIA #206
4755 E. 126TH ST.
CARMEL, IN 46033
(317)844 -4372
992 MH FIR C014 19
TAX
CASH OG
CHANGC
TOTAL N UM 8 F P 0P 1 I t M., ill
12123108 F a0 0 Z'06 9 3 00
I
THANK YOU SHOPPIJIG AT O'h101-,!A
YOUR CASHIER WAS mARGf-'
CUSTOMER SERVICE TS a] W1111 D'I"( ti"
LET OUR STORE MGR RICK 1 :111TIl
KNOW HOW WE ARE DOING.
CHECK US OUT: htip://www.omalias.c;om
0' MALIA 4206
4765 E. 126TH ST.
CHRMEL, IN 46033
(';517 -4372
1 il!, I li 01"i1 &t:0 Rim 19 F
ti
�I1i 00'1.1 116
Sc 1068 1 DCLI11 TWIG (:HMR 49-F
SC 2357 IFJL. I-1111 EI)TN CRMR 53-F
I IIX (IC
j bill. I
11 A N6 H
I[Mil NIAMBLI 1 1111-l'i I
1 21 161011 ICI::I? film 01,1(l1, 0" 0 2 1.?1
YOU SWED
1.02 (9%)
ON YOUR ORDER TODHY
iMINI" YI-AJ FUR 1 III
"IF
JI-M (AISIIIH WHS ANNE
YOUR 5nVING'5 k%w*
C011PUN PIAIS 5HVINGS 1 .02
TOIAL SHOINGS (9% 1.02
pNNIfNNNNAY YOUR FAVINGS NNNkRNNifNN
C I:. IS Al w 1. 1 ll ij mill. I Il
Fftlk IM14 MGR
I(NI HOW Wf ARE I)IJING
CHECK US DOT tii
Marsh Nubile
S i itrip l I x I J 1] 1, N.. t it M 1 1 r• I 1 6 2?? q
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r.xc I us I kw f-1.11r-sh Mol I I e buh5i- 1 her
GREPT GIFT IDR11
Ijel -ji-ow ail view Si.inri--ie
111w Iasi for 1.1filu
$9.99. M! f'10I.Ceds tj,=rwl'if lhe
W th --mm flora I Itj:� cacti
�lou have Saved
$119.60 in 2008,
al 01"Fers.
Thank you
For Shopping
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
OUNTS 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.
1 Payee
I ?dt""
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7 1/
11-
Total 33 Cr
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
.3 -2. 0
CCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/.?D'7 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
G15,�5 2-1 which charge is made were ordered and
received except
20
i atur
ledger classification if Title
Costsdistribution led
g Director of Golf
claim paid motor vehicle highway fund