210999 07/17/2012 s \*f CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
is 0 ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF CO%%
s a CARMEL, INDIANA 46032 C/O PAM LISTER GFiECK AMOUNT: $167.60
CHECK NUMBER: 210999
CHECK DATE: 7/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 82 . 35 OTHER MAINT SUPPLIES
1207 4239040 30 . 25 FOOD & BEVERAGES
1207 4358300 55 . 00 OTHER FEES & LICENSES
0 " MALTA #206
4755 E. 126TH ST.
CARMEL, IN 46033
(317.1844-4372
22 HOME C I I Y .ICE 22 u 13. 19 P
22 HOME CITY 1CN 22 u 13. 19 F
22 HOME CITY 1cE 22 It 5 19 F
22 HOME CITY ICE 22 It `i. 19 F
TAX .00 BAL 20.76
CASH 21 .00
CHANGE 24
TOTAL 14UMBER OF 1TPMS SOLO = 9
7/06/12 10:58 AM 0206 03 0054 163
YOUR CASHIER 4IAS MARGE
THANK YOU FOR SHOPPING
011ALIA
CHECK US OUT: hitp://www.cmalia!i.(:om
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$20.76
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I O'Malia I 42-390.40 I $20.76 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, July 09, 2012
/ 9
Director, BrookshiF6 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))
07/06/12 O'Malia Ice $20.76
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
Hlghw St nerd.
meiler
Lew P ri
ces
W.Carmel Dr.
Carmel, IN-#130
(317)573-8300 meijer.com
The'Meijer Team appreciates your business .
07/13/12
Your fast and friendly checkout was
provided by Fastlane111
----SAVINGS TODAYxwxW
- TOTAL NON-COUPON SAVINGS 20.60 -
wSAVINGS "TOTAL 20 . 60-
GENERAL MERCHANDISE
*4125060157 OARS
was 12.96 now 10.36 CT
*73782603253 INFLATABLE BOAT
was 89.99 now 71.99 CT
TOTAL
IN 7% Sales Tax 5.76
TOTAL TAX 5.76
TOTAL 88.11
PAYMENTS
VISA Payment TENDER 88.11,
XXXXXXXXXXXX6461
NUMBER OF ITEMS 2
See meijer.com or the Service Desk for
current return policy.
III III iIIIIII1�1IIIII I II11i IIIIII III IIII
A01 NSK 1
Tx:109 Op:562 Tm:111 St:130 13:46:57
How are we doing?
Rate your shopping
Experience and You
May Win a $1000
Meijer Gift Card!
Visit us at
www.meiier,.com/ratemeiier
or call 1-888-6345371
User I0:010901303
Password:019501111
Survey should be completed within 72 hrs
NCAK
071
MERCHANTS SQUARE (068)
2274 EAST 116TH STREET
CARMEL IN 46032
Cashbox 02 AM
Purchase Receipt
Money Order
Document Number: 114727
Purchase Date: July 13 2012
Purchase Amount: $50.00
SOF Account Number
Source of Funds Check $0.00
Source of Funds Cash $60.00
System Date/Time * 10:33 JUL 13 2012
W/S ID WWS07ECC Sequence Number 00053
Purchase Fee $5.00
This deposit or payment is accepted subject to
verification and to the rules and regulations of
this bank. Deposits nay not be available for
immediate mithdraual. Receipt should be held
until verified uith your statement.
FORM 122278-0909
P1 UCANK
pnc.com
FORM 122278-0909
PNC ANI(
pnc.com
FORM122278-0909
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$146.84
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 GFS 42-390.40 $9.49 1 hereby certify that the attached invoice(s), or
1207 ATC 4/55 J,j $50.00 bill(s) is (are) true and correct and that the
1207 PNC I 500-' $5.00
_ materials or services itemized thereon for
1207 Meijer ,x�f ' $82.35
which charge is made were ordered and
received except
Friday, July 13, 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))
07/01/12 GFS Food $9.49
07/13/12 ATC Fees $50.00
07/13/12 PNC Fee $5.00
07/13/12 Meijer Boat $82.35
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