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Home My WebLink About210411 07/05/2012 *f CIT OF CCARMEL, INDIANA VENDOR: 355486 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA ALCOHOL TOBACCO COMM CARMEL, INDIANA 46032 302 W WASHINGTON ST ROOM E114 CHECK AMOUNT: $315.00 INDIANAPOLIS IN 46204 CHECK NUMBER: 210411 CHECK DATE: 7/512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 45.00 AYERS 1207 4355300 45.00 BALLARD 1207 4355300 45.00 CALVERT 1207 4355300 45.00 EGGERT 1207 4355300 45.00 HIGGINS 1207 4355300 45.00 JOSEPH 1207 4355300 45.00 LISTER APPLICATION FOR EMPLOYEE PERMIT INDIANA ALCOHOL TOBACCO COMMISSION i 3 Year Employee Permit Type 900 302 W. Washington Street, Rm. El 14 2 Year Volunteer Employee Permit -Type 801 Indianapolis, Indiana 46204 Employee Permit Section (317) 232 2455 rare 2 Year Restricted Permit Type 300 Web page: httpa/www.IN.gov /ate State Form 43 Hours: 8:00 am to 4:00 pm EST Approved by State Board of Accounts, 2005 STEP 1. GENERALiNFORMATION Name plicant (first, middle initial, i st) (please print) Daytime telephone number E-mail address l `t.4 1 yl i C wt__e irt, Addreg and street) City State 43 Zip Social Security Number (Mandatory per IC 4.1-8-1 (a) (b)) Sex In.) Weight (ibs.) Date of bi (monl ,day; year) Age Male 13 Female �Q Check one: Permit number (Urenewal) Check one that applies: Q� Employee Permit 19 -20 year old Restricted Pemut *1 enewal Original application I (R o 6 f �-b Volunteer Permit Name and address of permit premises where this perrNl is to be used (if known). 0 i�0 3 r D C' iG S yy d r=te If applying for a Volunteer Permit, list the name and address of the not for profit organization. CCt! 4u l rl-_i (t STEP'Z BACKGROUNDiQUESTIONS -READ CAREFULLY PRIQR:TO'ANSWERIN(3 Have you ever been convicted of operating a motor vehicle while intoxicated in Indiana or of a similar charge in any other state ?(if yes, Yes I$No please list the month, day, year, and location of your convictlon(s) Yes No Are you currently serving a sentence, including any term of probation for operating a motor vehicle while intoxicated in Indiana or a similar crime in another state? Yes O NO Do you have any outstanding and unpaid tax liabilities owing to the Indiana Department of Revenue ?(If yes, you cannot have a permit until all liabilities have been pakdl Have you had an application for an alcoholic beverage permit or employee's permit denied, revoked, or suspended within the last 5 years ?lr Yes F,No yes explain [3 Yes uy "No Have you had a drivers license in any other state In the last 10 years? If so, you must attach a copy of your driving record from that state. ®Yes ❑No Do you know that it Is a Class B Misdemeanor, punishable by up to 6 months in jail and a $1,000 fine, for knowingly serving an intoxicated person? ERYes No Do you know that an excise officer may enter, inspect, and search the permit premises in which you work without a warrant and you must produce your permit on demand? djYes ONO Do you know that the alcoholic beverage laws are part of the criminal code and are enforceable by every law enforcement officer in the State of Indiana Yes ❑No Do you understand that this employee permit is yours and that your employer Is only allowed to copy the permit? STEP `3.19:211 :YEAR.OLDRESTRICTED PERMIT To receive a Restricted Employee Permit, you must attach original Certified Server Training Certificate issued to you at your training session. Photocopies will not be accepted STEP :4 ::FEE AND PAYMENT SCHEDULE Type 900 3 Year Employee Permit (Fee $43.00) Type 801 -Volunteer Employee Permit (voluntary services only for nonprofit organizations) (Fee $15.00) Type 300 -2 Year Restricted Permit (Fee $30.00) You may work on your receipt for only 30 days Payment by mail may be made by money order, business check, or certified check. DO NOT SEND CASH OR PERSONAL CHECKS. STEP 5' :SIGNATURE AND AFF.IRMATiON. I certify that this application was completed by myself. I affirm under penalties of perjury that 1 am at least 19 years of age and that all information provided on this forth is true and correct. I understand that it is a felony under Indiana law to misrepresent or falsify any portion of this application, and also realize I may be fined. Signatup applicant Date signed (month, day, ar) r OWI Background Check No OW. OWI OWI 13 No record on file Eligible Ineli ible Flit OfftCe Use :Onfy:.; Conviction Date(s) Eligible Date Initial Date Revealed ❑YES 13 NO APPLICATION FOR EMPLOYEE PERMIT INDIANA ALCOHOL TOBACCO COMMISSION 3 Year Employee Permit Type 900 302 W. Washington Street, Rm. E114 g" Indianapolis, Indiana 46204 2 Year Volunteer Employee Permit Type 801 Employee Permit Section (317) 232.2455 S .eye 2 Year Restricted Permit Type 300 Web page: http:/AwAy.[N.gov/atc Ay.[N.gov /atc State Form 43 Hours: 8:00 am to 4:00 pm EST Approved by State Board of Accounts. 2005 STEP 1. IENERALINFORMATION Name of applicant (first, middle initial, last) (please pi q Daytime telephone number E -mall address a(\ 5, 317 E 7 g3i bbQkkc r C Cc,smehn,q Address (number and street) City State Zip Social Security Number (Mandatory IC 4 -1 -8.1 (a) (b)) Sex Height (R in.) Weight (ibs.) Date of birth (month day, year) Age Male Female 3 C.,h/e�lc one: Permit number (!/renewal) Check one that applies: Employee Permit 19 -20 year old Restricted Permit 00 Renewal 13 Original applkalion 1 07 Volunteer Permit Name and address of permit premises where this permu is to be used (if known). if applying for a Volunteer Penult. list the name and address of the not for profit organization. STEP.2. BACKGROUND` QU S:= ESTIONREAb;CAREFULLY PRIORTO?ANSWERING, Have you ever been convicted of operating a motor vehicle while intoxicated in Indiana or of a similar charge in any other state?(If yes, ❑Yes 19/No please list the month, day, year, and location of your conviction(s) Yes WN o Are you currently serving a sentence, including any term of probation for operating a motor vehicle while Intoxicated In Indiana or a similar crime in another state? Yes 1 Do you have any outstanding and unpaid tax liabilities owing to the Indiana Department of Revenue?(If yes, you cannot have a permit until all liabilities have been paid) Have you had an application for an alcoholic beverage permit or employee's permit denied, revoked, or suspended within the last 5 years ?lf Yes 1N0 yes, explain ❑Yes No Have you had a drivers license in any other state in the last 10 years? If so, you must attach a copy of your driving record from that state. ®Yes ❑No Do you know that it is a Class B Misdemeanor, punishable by up to 6 months in jail and a $1,000 fine, for knowingly serving an intoxicated person? Yes ❑No Do you know that an excise officer may enter, inspect, and search the permit premises in which you work without a warrant and you must produce your permit on demand? l(Yes []No Do you know that the alcoholic beverage laws are part of the criminal code and are enforceable by every law enforcement officer in the State of Indiana Zes ❑No Do you understand that this employee permit is yours and that your employer is only allowed to copy the permit? _r:- STEP 3.`19-20:YEAR.OLdRESTRICTED PERMIT To receive a Restricted Employee Permit, you must attach original Certified Server Training Certificate issued to you at your training session. Photocooles will not be accepted STEP:4: FEE AWD iiAYMENT SCHEDULE Type 900 3 Year Employee Permit(Fee $45.00) Type 801 Volunteer Employee Perrnit(voluntary services only for nonprofit organizations) (Fee $15.00) Type 300 -2 Year Restricted Permit (Fee $30.00) You may work on your receipt for only 30 days Payment by mall may be made by money order, business check, or certified check. DO NOT SEND CASH OR PERSONAL CHECKS. STEP `SiGNATURE AND AFFIRMATION I certify that this application was completed by myself. 1 affirm under penalties of perjury that I am at least 19 years of age and that all information provided on this form is true and correct. I understand that it is a felony under Indiana law to misrepresent or falsify any portion of this application, and also realize I may be fined. Signature of applip?t�^ I Date signed (month, da year) 6 Z� Z OWI Background Check No OWI OWI 13 owl No record on file For Officta:Use ON Eligible Ineligible Y Conviction Date(s) Eligible Date Initial Date Revealed YES NO APPLICATION FOR EMPLOYEE PERMIT INDIANA ALCOHOL TOBACCO COMMISSION 3 Year Employee Permit Type 900 302 W. Washington Street, Rm. E114 Indianapolis, Indiana 46204 S 2 Year Volunteer Employee Permit -Type 801 Employee Permit Section (317) 232 -2455 reps 2 Year Restricted Permit Type 300 Web page: http: /www.IN.gov /atc State Form 43 Hours: 8:00 am to 4:00 pm EST Approved by State Board of Accounts, 2005 ;,STEP 1 GENERALINFORMATION Nam of applicant (first, middle initial, last) (please print) Daytime telephone number E-mail address Address (number and street) City J Stale Zip /603l ociat Se /cu /_y Number (Mandatory per IC 4 -1-8-1 (a) (b)) Sex Height (R. in.) Weight (fbs.) Permit number [if renewal) Check one that applies: Employee Permit O 19 -20 year old Restricted Permit eewal 13 Original application �9 Volunteer Permit Name and address of permit premises where this permit is to be used (if known). 6vvp J J O It applying for a Volunteer Permit, list the name and address of the not for profit organization. f LN� STEP ACKGRQUND, READ'CAREFULLY PR1ORjO ANSWERING';_- Have you ever been convicted of operating a motor vehicle while Intoxicated in Indiana or of a similar charge in any other state ?(If yes, Yes M j please list the month, day, year, and location of your conviction(s) Yes No Are you currently serving a sentence, including any term of probation for operating a motor vehicle while intoxicated in Indiana or a similar me in another state? Yes 111140 Dc ou have any outstanding and unpaid tax liabilities owing to the Indiana Department of Revenue ?(if yes, you cannot have a permit until liabilities have been pald) Have you had an application for an alcoholic beverage permit or employee's permit denied, revoked, or suspended within the last 5 years ?If Yes 19K explain Yes No Have you had a drivers license in any other state in the last 10 years? If so, you must attach a copy of your driving record from that state. es ON. Do you know that it is a Class B Misdemeanor, punishable by up to 6 months in jail and a $1,000 fine, for knowingly serving an intoxicated person? es No Do you know that an excise officer may enter, inspect, and search the permit premises in which you work without a warrant and you must produce your permit on demand? 6 1Yes ❑No Do you know that the alcoholic beverage laws are part of the criminal code and are enforceable by every law enforcement officer in the State of Indiana Yes ❑No Do you understand that this employee permit is yours and that your employer is only allowed to copy the permit? STEP 3.19 =20 YEARiOLD'RESTRICTED,PERMIT n, To receive a Restricted Employee Permit, you must attach original Certified Server Training Certificate issued to you at your training session. Photocopies will not be accepted r P. FEE /1ND PAYNIENT;SCHEDULE s r x .3s' 1 4 Type 900 3 Year Employee Permit(Fee $45.00) Type 601 Volunteer Employee Permit (voluntary services only for nonprofit organisations) (Fee $15.00) Type 300 -2 Year Restricted Permit (Fee $30.00) You may work on your receipt for only 30 days Payment by mail may be made by money order, business check, or certified check. DO NOT SEND CASH OR PERSONAL CHECKS. STEP 6 SIGNATURE AND AFFIRMATION I certify that this application was completed by myself. 1 affirm under penalties of perjury that I am at least 19 years of age and that all Information provided or this form is true and correct. I understand that ft is ajgLoU under Indiana law to misrepresent or falsify any portion of this application, and also real I may be fined. Signal of a pli Date signed (month, day, year) a OWI Background Check No OWI 1:1 OWI OWI No record on file Far Use Only; Eligible Ineligible Conviction Date(s) Eligible Date Initial &Date r Revealed YES 13 NO APPLICATION FOR EMPLOYEE PERMIT INDIANA ALCOHOL TOBACCO COMMISSION 3 Year Employee Permit Type 900 302 W. Washington Street, Rm. El 14 r 2 Year Volunteer Employee Permit Type 801 Indianapolis, Indiana 46204 Employee Permit Section (317) 232 2455 2 Year Restricted Permit Type 300 Web page: httpJ /www.[N.govfate State Form 43 Hours: 8:00 am to 4:00 pm EST Approved by State Board of Accounts, 2005 STEP 1. GENERAL INFORMATION Name of applicant (first, middle initial, last) (please print) Daytime telephone number E- mall J address Address (number and street) City State Zip 03 Social 3 Social Security Number (Mandatory iC 4- t-8 -1(a) (b)) Sex Height (It, in.) lWeIght @s.) Date of birth (month, day, year) Age Male Female 7 Check one: Permit number (ifrenewag Check one that applies: �mployee Permit C3 is 20 year old Restricted Permit oo Renewal 13 Original application .)1 .5 r' -w Volunteer Permit Name and address of permit premises where this permit is to be used (dknown). o ,L j� G.G�I t (-tti`'J If applying for a Volunteer Permit, list the name and address of the not for profit organization, f t �C o K i. re- :`STEP 2 BACKGROIIND�QUESTIONS_ READ ;CAREFULL -Y PRIQR _TO'ANSWERING �i. Have you ever been convicted of operating a motor vehicle while intoxicated in Indiana or of a similar charge in any other state ?(If yes, ❑Yes to please list the month, day, year, and loge don of your convictlori(s) Are you currently serving a sentence, including any term of probation for operating a motor vehicle while Intoxicated In Indiana or a similar [3 Yes o crime in another state? Do you have any outstanding and unpaid tax liabilities owing to the Indiana Department of Revenue?(If yes, you cannot have a pernilt until Yes o all liabilities have been paid) Have you had an application for an alcoholic beverage permit or employee's permit denied, revoked, or suspended within the last S years ?If ❑Yes o yes explain Yes ido Have you had a drivers license in arty other state in the last 10 years? If so, you must attach a copy of your driving record from that state. es ❑No Do you know that it is a Class B Misdemeanor, punishable by up to 6 months in jail and a $1,000 fine, for knowingly serving an intoxicated person? es No Do you know that an excise officer may enter, inspect, and search the permit premises In which you work without a warrant and you must produce your permit on demand? Yes []No Do you know that the alcoholic beverage laws are part of the criminal code and are enforceable by every law enforcement officer in the State of Indiana Yes ❑No Do you understand that this employee permit is yours and that your employer is only allowed to copy the permit? Sitpli O L•D tESTRICTED,PERMI To receive a Restricted Employee Permit, you must attach original Certified Server Training Certificate issued to you at your training session. Photocopies will not be accepted STEP:4::FEE'AN15: PAYMENT SCHEDULE Type 000.3 Year Employee Permit (Fee $45.00) Type 801 Volunteer Employee Permit (voluntary services only for nonproRt organizations) (Fee $15.00) Type 300 -2 Year Restricted Permit(Fee $30.00) You may work on your receipt for only 30 days Payment by mail may be made by money order, business check, or certified check DO NOT SEND CASH OR PERSONAL CHECKS. STEP br`iSIQNATURE AND`AFFIRMATION I certify that this application was completed by myself. 1 affirm under penalties of perjury that I am at least 19 years of age and that all information provided on this form is true and correct. I understand that it is a feionv under Indiana law to misrepresent or falsify any portion of this application, and also realize I may be fined. Signature of applicant Date signed (month, do year) Background Check No OWI OWI OWI OWI Back 9 No record on file For Office Use Oniy. Eligible Ineligible Conviction Date(s) Eligible Data Revealed E3 YES C3 NO Initial Date APPLICATION FOR EMPLOYEE PERMIT INDIANA ALCOHOL TOBACCO COMMISSION 3 Year Employee Permit Type 900 302 W. Washington Street, Rm. E1 14 Indianapolis, Indiana 46204 2 Year Volunteer Employee Permit Type 801 Employee Permit Section (317) 232-2455 2 Year Restricted Permit Type 300 Web page: http:JAvww.IN.gov1atc State Form 43 Hours: 8:00 am to 4:00 pm EST Approved by State Board of Accounts, 2005 STEP 1. GENERAL'i9FORMATION1 Name of applicant (first, middle initial, last) (please print) Daytime telephone number 7 ddrers e- tl o 1 Address (numberprid street), city StaTe U J-6 -3 e�" .0/- 05-'5' Social Security Number (Ma ddatory per IC 4-1-8.1 (a) (b)) ax lHeight in.) Weight (lbs.) Date of birth (month, day, )6ar) 11lie Male 2 S Check one: [Pe number (iffenewal) Check one that applies. ;0; Employee Permit U 19 -20 y ear old ResMUed Permit enewal E30riginalapplication 16 rmill k 1 S i i S I E3 Volunteer Permit Name and address of permit premises where this permit Is to be used (if known). It applying for a Volunteer Permit, fist the name and address of the not for profit organization. STEP BAC =READ CAREFULLY PRIOR _TO ANSWERIN Have you ever been convicted of operating a motor vehicle while Intoxicated In Indiana or of a similar charge In any other state?(If yes, ❑Yes No please list the month, ofay, year-, and location ofyour convIctlon(s) Yes dN0 Are you currently serving a sentence, Including any term of probation for operating a motor vehicle while Intoxicated In Indiana or a similar crime In another state? Yes CZ(No Do you have any outstanding and unpaid tax liabilities owing to the Indiana Department of Revenue?6tyes, you cannot have a permit until all liablildes; have been paid) Have you had an application for an alcoholic beverage permit or employee's permit denied, revoked, or suspended within the last 5 years?tf Yes N o yes. explain Yes GIC Have you had a drivers license in any other state In the last 10 years? If so, you must attach a copy of your driving record from that state. �7 y as ❑No Do you know that it Is a Class B Misdemeanor, punishable by up to 6 months in jail and a $1.000 fine, for knowingly serving an Intoxicated person? U [3No Do you know that an excise officer may enter, inspect, and search the permit premises In which you work without a warrant and you must produce your permit on demand? Cr [:]No Do you know that the alcoholic beverage laws are part of the criminal code and are enforceable by every law enforcement officer in the State of Indianal O [3No Do you understand that this employee permit is yours and that your employer is only allowed to copy the permit? STEP 1 3. I %mytAkim To receive a Restricted Employee Permit you must attachthe orioina certified Server Training Certificate issued to you at your training session. Photocopies will not be accepted. PAYMENTSCHEDULE Type 900 3 Year Employee Pennit(Fee $45.00) Type 801 Volunteer Employee Permit (voluntary services only for nonprofit organizations) (Fee $15.00) Type 300 2 Year Restricted Permit (Fee $30.00) You may work on your receipt for only 30 days Payment by mail may be made by money order, business check, or certified check. DO NOT SEND CASH OR PERSONAL CHECKS. STEP; SIGNATURE `AND AFF I certify that this application was completitPby myself. I affirm under penalties of perjury that I am at least 19 years of age and that all Information provided on 1 this form is true andc'orrect I unde nd� 6 It is a felony under Indiana law to misrepresent or falsify any portion of this application, and also realize I may be fined. Signature of applica Date signed (month, day, year) 0 owl 0 owl Background Check 13 No Owl T 1B 13 No record on file (0�v Eligible Ineligible For -bM64ti -6 4-4- 1 72 7,?�, ,�ConvlctionDate(s) Eligible Date Initial Date Revealed YES NO APPLICATION FOR EMPLOYEE PERMIT INDIANA ALCOHOL TOBACCO CO 3 Year Employee Permit Type 900 302 W. Washington Street, Rm. El 14 9l 2 Year Volunteer Employee Permit -Type 801 Indianapolis, Indiana 46204 Employee Permit Section (317) 232 -2455 2 Year Restricted Permit Type 300 Web page: http:Jlwww.IN.gov1atc State Form 43 Hours: 8:00 am to 4:00 pm EST Approved by State Board of Accounts, 2005 STEP 1: GENERAL'INFORMATION Name of applicant (first, middle initial, last) (please print) D"*me telephone number E-m address mac W1 514_ 0 5 (:`mun c7� �CIOI, (Oi1 Address (n antlst el) ci Zip So ci I Security Nuu (Man t per IC 4.1-8-1 (a) (b)) Sax Height (R in.) Weight (MS.) Date of birth (month, da); ar) AQe Male 5 Female L Check one: Permit number pfrenewal) Check one that applies: nn Employee Permit 19 -20 year old Restricted Permit enewal Original application 17 3 Volunteer Permit Name and address of permit premises where this permit is to be used (Jffknown). .J If applying for a Volunteer Permit, list the name and address of the not for profit organization. STER BACKGROUND ;QUESTIONS'. =READ CAREFULLY PRIOR TO ANSWERING Have you ever been convicted of operating a motor vehicle while intoxicated in Indiana or of a similar charge in any other state?pf yes, E3 Yea No please list the month, day, year, and location of yourconvietion(s) Yes N0 Are you currently serving a sentence, Including any term of probation for operating a motor vehicle while intoxicated in Indiana or a similar crime In another state? Yes o Do you have any outstanding and unpaid tax liabilities owing to the Indiana Department of Revenue ?(If yes, you cannot have a permit until all liabilities have been pald) Have you had an application for an alcoholic beverage permit or employee's permit denied, revoked, or suspended within the last 5 years?if ❑Yes `f T yes explain Yes Q No Have you had a drivers license in any other state in the last 10 years? If so, you must attach a copy of your driving record from that state. Yes C3 No Do you know that it is a Class B Misdemeanor, punishable by up to 6 months in jail and a $1,000 fine, for knowingly serving an intoxicated person? Yes No Do you know that an excise officer may enter, inspect, and search the permit premises in which you work without a warrant and you must produce your permit on demand? es No Do you know that the alcoholic beverage laws are part of the criminal code and are enforceable by every law enforcement officer in the State of Indiana 13 Yes ❑No I Do you understand that this employee permit is yours and that your employer is only allowed to copy the permit? STEP 3.19- 20.YEAROLD`RESTRI0 TED; PERMIT:' To receive a Restricted Employee Permit, you must attach original Certified Server Training Certificate issued to you at your training session. Photocopies will not be accepted STEP :4i FEE ANUPAYMENT SCHEDULE Type 900.3 Year Employee Permit (Fee $45.00) Type 801 -Volunteer Employee Permit (voluntary services only for nonproRt organizations) (Fee $15.00) Type 300 -2 Year Restricted Permit(Fee $30.00) You may work on your receipt for only 30 days Payment by mail may be made by money order, business check, or certified check DO NOT SEND CASH OR PERSONAL CHECKS. STEP 5: SIGNATURE AND'AFFIRMATION I certify that this application was completed by myself. I affirm under penalties of perjury that I am at least 19 years of age and that all Information provided a this fb rre rm is true and ct. I understand that k I n is s under Indiana law to misrepresent or falsify any portion of this application, and also realize 1 maybe fined. i t Signature,of applicant t Date sig (pro t day, year) OWI Background Check No OWI OWI E3 OWI No record on file Or Office Use Only; Eligible Ineligible Fo Co nvicfion Date(s) Eligible Date initial Date Revealed YES NO 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 D ate Number (or note attached invoice(s) or bill(s)) 06/16/12 D. Eggert Permit $45.00 06/20/12 B. Ballard Permit $45.00 06/20/12 P. Lister Permit $45.00 06/20/12 M. Calvert Permit $45.00 06/21/12 R. Higgins Permit $45.00 06/21/12 J. Joseph Permit $45.00 06/24/12 I A. Ayers I Permit I $45.00 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 Indiana Alcohol Tobacco Commission IN SUM OF 302 West Washington Street, Room E 114 Indianapolis, IN 46204 $315.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 D. Eggert 43- 553.00 $45.00 1 hereby certify that the attached invoice(s), or 1207 B. Ballard 43- 553.00 $45.00 bill(s) is (are) true and correct and that the 1207 P. Lister 43- 553.00 $45.00 materials or services itemized thereon for 1207 M. Calvert 43- 553.00 $45.00 1207 R. Higgins 43- 553.00 $45.00 which charge is made were ordered and 1207 J. Joseph 43- 553.00 $45.00 received except 1207 I A. Ayers I 43- 553.00 I $45.00 Monday, June 25, 2012 Director, Brookshir Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund