176356 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 358825 Page 1 of 1
ONE CIVIC SQUARE MISTER ICE OF INDIANAPOLIS CHECK AMOUNT: $390.00
ti ,za CARMEL, INDIANA 46032 7954 E 88TH ST
u INDIANAPOLIS IN 46256 CHECK NUMBER: 176356
SON
CHECK DATE: 8/1912009
DEPARTMENT ACCOUNT �PO NUMBER INVOICE NUMBER A MOUN T DESCRIPTION
'1207 4353099 40930 390.00 OTHER RENTAL LEASES
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Lease Invoice
Invoice No: 40930
Date: 08/22/2009
OF INDIANAPOLIS Due Date: 08/22/2009
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
ltemNo 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- Aug -2009
Invoice Location Account Company Amount Due Date
39440 50993 Brookshire Golf Club $390.00 07/22/2009
Tear Off Return With Payment
for proper credit.
Invoice No: 40930
Brookshire Golf Club Account 50993
Carmel Redevelopment Commissio Date Due: 08/22/2009
12120 Brookshire Pkwy Sub Total: 390.00
CARMEL, IN 46033 Sales Tax: 0.00
Invoice Total: 390.00
Total This Invoice: 390.00
Mister Ice Of Indianapolis Total Open Invoices $390.00
7954 East 88th Street
Indianapolis, IN 46256 Total Due 780.00
Phone: 317- 849 -4466
Fax: 317 -578 -0750
Amount Enclosed:
PIWIR
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
J L /X' Purchase Order No.
:22 Terms
Date Due
Invoice invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total CO
I hereby certify that the attached invoice(s), or bilf(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
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IN SUM OF
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ON ACCOUNT OF OF APPROPRIATION FOR
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Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. k hereby certify that the attached invoice(s), or
p Q G 99 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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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund