171762 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 359347 Page 1 of 1
ONE CIVIC SQUARE BURCO INTERNATIONAL INC CHECK AMOUNT: $118.00
r a CARMEL, INDIANA 4$032 PO BOX 3139
ASHEVILLE NC 28802 CHECK NUMBER: 171762
CHECK DATE: 4/29/2009
DEPARTMEN ACCO UNT PO NUMBER INVOICE NUMBER AMOUNT. DESCRI PTION
1207 4230,200 14843 118.00 OFFICE SUPPLIES
Burco International, Inc.
P.O. Box 3139
Asheville NC 28802 nvoice .q 14843
r 4/8/2009
Phone 800 388 -3864 Fax 800 334 -3864
FEIN# 56- 1741414
Bill To: Ship To:
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Pkwy 12120 Brookshire Pkwy
Carmel IN 46033 Carmel IN 46033
�.P,urchase °Order `rrieritiTerms� ae �SEiiRate�. °MasteraNa xx:<
129'14 UPON RECEiP T 4/$/2009 14,843
f'''f;� 't- `a_'�s✓`s`;!e
Orclereci item W� A �,�n Qescr� tion .g.. Unit:P� ice Total
1.00 TEMP TEMPORARY SCORE CARDS $100.00 $100.00
S'rbtatal'1 g
$100.00
ORDER 96922
0.00
PLEASE RETURN COPY WITH PAYMENT
Ffeight =r� r n 18.00
0.00
$118.00_
PrescribedPy State Board of Accounts City Form No. 201 (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 1
Ca Purchase Order No.
1 1` 0 ao�' Terms
J& 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
zl, IN SUM OF
i
ON ACCOUNT OF APPROPRIATION FOR
&&J &eAq-1 Jo
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. a I hereby certify that the attached invoice(s), or
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
20
�Si nature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund