173511 06/10/2009 a CITY OF CARMEL, INDIANA VENDOR: 362952 Page 1 of 1
ONE CIVIC SQUARE SENTHIL RAJARANTNAM CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 2181 MUSTANG CHASE DRIVE
WESTFIELD IN 46074 CHECK NUMBER: 173511
CHECK DATE: 6/10/2009
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMB AM DESCRIPTION
101 5023990 200.00 REFUND BROOKSHIRE
Lister, Pamela L
Subject: Senthil Rajaratnam 1 st Birthday Party
Location: Golf Course
Start: Sun 6/28/2009 12:00 PM
End: Sun 6/28/2009 4:00 PM
Recurrence: (none)
Paid 200.00 Deposit
Needs Refunds
2181 Muatang Chase Drive
Westfield, IN 46074
i
Brookshire Golf Club June 06, 2009
12120 Brookshire Parkway
Carmel, IN 46033
Senthil Rajaratnam
2181 Mustang Chase Drive
Westfield, IN 46074
Dear Mr. Rajaratnam
Please find enclosed a check for the deposit on the banquet facility. We do apologize for any
inconvenience this may have caused you. I hope your son's 1" birthday party goes well.
Sincerely,
Dave Van Bruaene
General Manager
Brookshire Golf Club
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
S �j P CAle 1 DJ IRPI Purchase Order No.
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Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
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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
materials or services itemized thereon for
which charge is made were ordered and
received except
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