HomeMy WebLinkAbout209641 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF CO_ %CK AMOUNT: $36.42
o CARMEL, INDIANA 46032 C/O PAM LISTER
CHECK NUMBER: 209641
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4230200 1.80 OFFICE SUPPLIES
1207 4239040 3.72 FOOD BEVERAGES
1207 4342100 .90 POSTAGE
1207 4358300 30.00 OTHER FEES LICENSES
RECEIPT
INDIANA ALCOHOL TOBACCO COMMISSION
INDIANAPOLIS, IN r BT 089126
J,� v 20
1 1 2- 6 4h eceived From 2E �`f'` ra i/� e� Jo
2419 6
2 e Sum O b/?/
DOLLARS
)r EMPL EE PERMIT 100
3 0 69 0
B r
ate Form 3456 (R3 7 -01) NDIANA VViOL: TOBA O COMMISSION
)proved by State Board of Accounts, 2000
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
!'y, Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
��k R s s
Total
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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
30, G� bill(s) is (are) true and correct and that the
q,;?},-on g0 materials or services itemized thereon for
3- 5 which charge is made were ordered and
-QD received except
7 20
i natur
,a
T tle
Cost distribution ledger classification if
claim paid motor vehicle highway fund