210496 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
*f �j ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COT CHE
CARMEL, INDIANA 46032 C/O PAM LISTER CK AMOUNT: $21.88
CHECK NUMBER: 210496
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 12.19 OTHER MAINT SUPPLIES
1207 4356006 4.19 GOLF SOFTGOODS
1207 4358300 5.50 OTHER FEES LICENSES
10' 1 #206
4755 E. 126TH ST.
CARMEL, IN 46033
(317)844 -4372
3043 KIT'N K.ABOODLE,, 12.19 T
TAX .85 BAL 13.04
CASH 20.00
CHANGE= 96
TOTAL NUMBER OF ITEMS SOLD 1
6/16/12 7:58 AM 0206 01 0018 129
YOUR CASHIER WAS BARBARA
THANK YOU FOR SHOPPING
O'MALIR
CHECK DNS OUT: http! /www.omalias.com
Golfsmith
8310 Castleton Corner Dr
Indianapolis, IN 46250
317.577.0846
Guest ID: 83357382
Receipt 0822121784530 6/26/2012 11:19:37 AH
Store 082 Register 02 Cashier 21027
List Ext
Oty Item Number Price Amount
1 300248321 $4.19 $4.19
TOUR VELVET HENS STANDARD GRIPS BLK
Sub -Total $4.19
Tax $0.00
Sale -Total $4.19
CASH Tendered $20.00
Change Due $15.81
www go 1 fsm i th com
II II IIII II II II I IIIII III III III I IIIII II IIIII I III II II iill III
Please keep this receipt. New merchandise should
be returned according to Golfsnith's Return
Policy with a receipt on or before 07/26/2012.
See the Return Policy on the back of the receipt,
in a store or online for complete details.
Tell us how we did!
Please take a few
minutes to go online and fill out our customer
service survey.
www.golfsmith.con /survey
GOWSM
Return Policy
Golfsmith will gladly exchange or refund merchandise
purchased through our retail stores, catalog or website
within 30 days of product receipt when accompanied by
the original sales receipt and in new, unused condition.
Refunds will be issued as follows:
Payment type and expected refund description:
Cash Cash, if less than $200. Refunds for cash
purchases over $200 will be issued as a check from our
Headquarters or store credit.
Credit Card Store credit or credit issued to same credit
card.
Check Cash if less than $200 and the original purchase
was more than 14 days from date of return; otherwise, a
check is issued from our Headquarters in Austin, Texas.
Gift Card Gift Cards are not redeemable for cash (except
where required by law) and will not be placed or honored
for payment if lost or stolen.
Store Credit Store Credit is not redeemable for cash.
and will not be replaced or honored for payment if lost or
stolen.
All Store returns are subject to verification by a valid
and current driver's license, state identification, or other
approved form of identification from a governmental
entity. Golfsmith reserves the right to limit or refuse the
return of certain merchandise, such as special or custom
orders, custom clubs, assembled or altered components,
personalized items and media (e.g. books, video, software,
etc.). Free goods, received as part of a promotional offer or
a sale are not eligible for exchange or return. For returns of
Used Golf Clubs please refer to our Pre Owned Program.
115% Low Price Guarantee
Golfsmith guarantees low prices everyday, but if you
happen to find a lower advertised price, we'll match it plus
give you 15% of the difference. Some restrictions apply.
Call, Click or ask a Golfsmith Associate for details.
gcIfsm 0th.c®m
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF
$16.38
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 W ZW $12.19 1 hereby certify that the attached invoice(s), or
1207 0822121784530 43- 560.06 $4.19 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
Wednesday, June 27, 2012
i
Director, Brookshire 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))
06/16/12 Cat Food $12.19
06/26/12 0822121784530 Soft Goods $4.19
1 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
Hamilton County Treasurer
Kim Good
Thank you for your payment
Have a nice day
Tuesday Jun 26 2012 01:35-18 PM
17-13-O3-O0-O5-O51.080 5.50
Total 5.50
Cash 6.00
Change 0.50
Receipt Susao1-O6272O12-2
PP Y rtm t Government 2009 y W, j_ 4
2011 b the Ue p
artment of Local G
Appr
�A 1' CO,tJt�{7Y` TAX�AND ASSESSME'NT�ST A EMEIVT PL ASE S I jREU RSE_,SI�EtF.OR M1'ORTf�NT
"M
INSTRUCTIONS Z r
K' 4 airiwa 5A`JLTsi :4L,....,ice g
A n �q�1 i
To Pay By Credit Card or e- Check, visit
witi Nv.hamiltoncoun .in. ov/ p taxes
h' g a
J
1. Please have ready:
17- 13- 03 -00 -05 -051.000
Procert�• [D number 5875700
Parcel Number 17 13- 03 00 05 051.000
Amount (see "Total Due" boxes in bold on the coupons below)
City of Carmel 2. Convenience fee: You will be charged a fee of 2.5% for credit
card payments. If you pay by e- check, the fee is $1.00. All fees are
City of Carmel charged by the bank payment processor and are non refundable.
1 Civic Sq
Carmel, IN 46032
CHASE i
DETACH RETURN ONLY THIS PORTION WITH YOUR FALL PAYMENT
lie"ft M1� ytr n;�5'y� C ',y�? ��ra{ 3,i
i AMILTfJN Pt
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TCC?UNTYTP,X�STATEMENa
BALL STAL�LMENT. H, G
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PARCEL -ID 17- 13- 03- 00 -05- 051.000 DUE DATE
STATE NUMBER 29- 13 -03- 005 -051.000 -034 11/13/2012 FALL TAX INSTALLMENT: $0.00
LEGAL DESCR Section :3 Township: 17 Range:, FALL SPECIAL ASSESSMENT INSTALL: $0.00
WILLIAMS MILL PAID TO DATE FALL: $0.00
I L I ot/BlocklAcrea ge 1 1 2.56 TOTAL DUE FALL: $0.00
IIIIIIIuIuIIIIIIIII1IIIIIIIIIJIII1IIIIIIIIIIIIIIIIII IIIIIIIIIIIIINIIII II1 amount;Penalty after Nov 13th If there is no delinquent
`17130300050510002' add 10% penalty after Dec 13th
City of Carmel 2011 pay 2012 •1 PAY BY CREDIT CARD OR e- CHECK, SEE ABOVE
City of Carmel
1 Civic Sq 1713030005051000.0000000000001 c.
Carmel, IN 46032
DETACH AND RETURN ONLY THIS PORTION WITH YOUR SPRING PAYMENT
..wry {4, qMl N
IN BC UNT.Y
SPRG II�STAILME T 4 Q�, 1 CkSTA+MEME T
PARCEL -lD 17- 13- 03- 00 -05- 051.000 DUE DATE DELINQUENT TAX AND PENALTIES: $0.50
STATE NUMBER 29- 13 -03- 005 051.000 -034 05110/2012 SPRING TAX INSTALLMENT: $5.00
LEGAL DESCR Section :3 Township: 17 Range: SPRING SPECIAL 'ASSESSMENT TOTAL:' $0.00
WILLIAMS MILL PAID TO DATE SPRING: $0.00
Lot 1 /2.56 TOTAL DUE SPRING: $5.50
Add 5% IIIIIII�Iu IIIIuIIIWIIIIIII�III�IIIIIIIIII�III I I II�II�II�IIII�I (III penalty after May 10th if there is no delinquent
amount;
'17130300050510001' add 10% penalty after June 10th
City of Carmel 2011 pay 2012 TO PAY BY CRE CARD OR e CHECK SEE ABOVE
City of Carmel
1 Civic Sq
Carmel, IN 46032 17130300050.510000000000005506
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF
$5.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1207 117- 13- 03- 00 -05- I 43- 583.00 I $5.50 1 hereby certify that the attached invoice(s), or
nsi non
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
Thursday, June 28, 2012
Director, Brook ire 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))
06/26/12 I.13- 03 -00 -05 -051.1 Drain Fee I $5.50
1 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