208833 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF CO_ %CK AMOUNT: $32.46
CARMEL, INDIANA 46032 C/O PAM LISTER
CHECK NUMBER: 208833
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 20.76 FOOD BEVERAGES
1207 4342100 11.70 POSTAGE
1 AIR
City Form No. 201 (Rev. 1995)
Prescribed
YABLE VOUCHER I
)F CARMEL
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4155 1: ICJ g6033 f service, where performed, dates service rendered, by
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►hereby certify that the attached invoice(s), Or bill(s), is (are) trbq and correclan �hatlE dudl�Ed Sa�1el�1 aCCO /1�a�1C�'
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materials or services itemized tY a nd
which charge is made were orde
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Cost distribution ledger classification if itle
claim paid motor vehicle highway fund
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f Shipmen Receipt Page #1 of 1 N
THIS IS _p-, A SHIPPING LABEL. PLEASE SAVE FOR YOUR RECORDS. O
SHIP DATE; 00 0 3 o
SHIP Q
FR APR 27, 2812 SHIPMENT lNFORMAiION;
UPS GROUND COMMERCIAL CD v m N
EXPECTED DELIVERY DATE; 2,65 LIS ACTUAL Ul N N
TUES, MAY 11 2012 EOD 3,80 IBS BILLABLE 91 CD CD
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SHIP FROM; DIMS; 1 3 BOX10,00X7,08 J a o a
BROOKSHIRE GOLF CLUB411Y OF CARMEL E MAIL NOTIFICATION; SHIP o' v C
12128 BROOKSHIRE PKUY w c m
CARMEL IN 46833 o
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TRACKING NUMBER; 12 3EB7840357877903
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BUSINESS SHIPMENT CHARGES; 0 z
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SERVICE OPTIONS $10,65 0
FUEL SURCHARGE $0'80
SHIPPED THROUGH: R #2 CMS PROCESSING FEE $0'85 m a O D
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petty Cash WARRANT NO.
ALLOWED
I N SUM OF 20
$11.70
ON ACCOUNT OF APPR OPRIATION F
Brookshire Golf
Club fi
PO# Dept. INVOICE NO. ACCT #ITtTLE 4
1207 8327642336741 AMOUNT
43- 4 21.00
$11.70
hereby Certif
f y that the attached Board Members.
bill(s) is invOice(s), or
(are) true
materials and correct and that the
or services itemized t
hereon for
which charge is
ge is made
received except e ordered and
ff
n
i .F
Tuesd
day, May 01, 2012
Director, Brook
ire Golf Club
Cost distribution ledger classification if Title
claim paid motor vehicle
highway fund
it