177252 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 358995 Page 1 of 1
ONE CIVIC SQUARE I G A/P G A INC CHECK AMOUNT: $332.50
CARMEL, INDIANA 46032 PO BOX 516
FRANKLIN IN 46131 CHECK NUMBER: 177252
CHECK DATE: 9/15/2009
DEP ARTMENT ACCOU P O NUMBER INVOICE NUMBER J AMOUNT DESCRIPTIO
1207 4355300 21572 332.50 ORGANIZATION& MEMBER
i
INDIA NAB GOLF OFFICE �Z
a /��f, y romoting the Game. Honoring the Tradition.
BROOKSHIRE GC DATE: August 31, 2009
ATTN: ACCOUNTS PAYABLE INVOICE: 21572
12120 BROOKSHIRE PKWY CLUB 22
CARMEL, IN 46033
2009 HANDICAP BILL
NUMBER
BILLED AMOUNT BILLED
MENS 18 150 $2,625.00
LADIES 18 36 $630.00
LADIES 9 0 $0.00
MENS 9 0 $0.00
SENIORS 0 $0.00
TOTAL BILLED: $3,255.00
AMOUNT PAID: $2,922.50
BALANCE DUE: $332.50
AMOUNT DUE BY SEPT. 30, 2009
PLEASE DETACH BELOW AND SEND WITH YOUR REMITTANCE.
PrOscrijjd S tate 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
ZA Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total j312. S
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
----7 IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or
DEPT INVOICE NO. ACCT #/TITLE AMOUNT 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
6-In sy 4
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund