180491 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 358825 Page 1 of 1
0 ONE CIVIC SQUARE MISTER ICE OF INDIANAPOLIS
CARMEL, INDIANA 46032 7954 E 88TH ST CHECK AMOUNT: $390.00
INDIANAPOLIS IN 46256
CHECK NUMBER: 180491
CHECK DATE: 12/16/2009
DEPARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4353099 47088 390.00 OTHER RENTAL LEASES
Lease Invoice
Invoice No: 47088
Date: 12/2212009
OF INDIANAPOLIS Due Date: 12/22/2009
Terms: Due Upon Receipt
7954 East 88th St. Cust PO:
Indianapolis, IN 46256 Reference: Monthly Service
Tel. 317- 849 -4466 Lease 50993
Fax. 317 -578 -0750 AcctNo: 50993
Billing Address: Location Address:
Brookshire Golf Club Brookshire Golf Club
Carmel Redevelopment Commissio 12120 Brookshire Parkway
12120 Brookshire Pkwy CARMEL, IN 46033
CARMEL, IN 46033
1temNo Description Qty Unit Price Extended
OE -LEASE Full Service Lease for Outside 1.00 MONTH $195.00 $195.00
Clubhouse Ice Machine
OE -LEASE Full Service Lease for 126th St. Pump 1.00 MONTH $195.00 $195.00
House Outside Ice Machine. Due on
the 22nd of every month
Blank Acount Numbers indicate invoices prior to June 2008
Open Invoices as of: 4 -Dec -2009
Invoice Location Account# Company Amount Due Date
Tear Off Return With Payment
for proper credit.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
�Qn 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 D
Purchase Order No.
Terms
yt2`�L�� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 3 go
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
�rg.1
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
d If -9 L 390, Z 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
Cl2C 4 20
Signatur
Cost distribution ledger classification if T itle
claim paid motor vehicle highway fund