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209483 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: T358633 Page 1 of 1 ONE CIVIC SQUARE AUNT MILLIE'S BAKERIES CARMEL, INDIANA 46032 7651 GEORGETOWN RD CHECK AMOUNT: $65.71 INDIANAPOLIS IN 46268 CHECK NUMBER: 209483 «oe co CHECK DATE: 6/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 001812415212 65.71 FOOD BEVERAGES ROUTE 1812 *Aunt Millie's Bakeries THU 0513112012 11:59 7651 Georgetown Rd. PAGE 1 *Indianapolis, In 46268 *Phone: (317) 872 -0307 *GEORGETOWN DEPOT #18 INVOICE 001812415212 ACCOUNT 1002765 BROOKSHIRE GOLF COUNTRY CLUB 12120 BROKKSHIRE PKWY CARMEL, IN,46032 SALES QTY ITEM# UPC DESCRIPTION PRICE EXT AMT 6 1632 0-7131400855-6 AM 16CT HAMBURGE 2.5100 15.0600 10 1640 0- 7131400856 -3 AM 16CT HOTOOG 2.5100 25.1000 5 1982 0-7131400243 -1 AMHRTH 100Y WH WT 2.8000 14.0000 5 4680 0- 7131400327 -8 AM DELI STEAK SES 2.3100 11.5500 26 TOTAL SALES 65.7100 TOTAL SALES 65.71 TOTAL RETURNS 0.00 NET 65.71 PREVIOUS BALANCE 153.92 CASH AMOUNT DUE 219.63 00181241S212 65.11 SIGNATURE VOUCHER NO. WARRANT NO. ALLOWED 20 Aunt Millie's Bakeries IN SUM OF 7651 Georgetown Road Indianapolis, IN 46268 $65.71 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 I 001812415212 I 42- 390.40 I $65.71 1 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 Monday, June 04, 2012 Director, Brookst 1 Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/31/12 001812415212 Bread $65.71 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