211907 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF COT%
CARMEL, INDIANA 46032 C/O PAM LISTER CHECK AMOUNT: $11.21
CHECK NUMBER: 211907
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 OMALIA 11 .21 FOOD & BEVERAGES
W MALTA #206
4755 E. 126TH ST.
CARMEL, IN 46033
(317)844-4372
3760 FO CLB CLRD �IRAWS 1 .39 T
*y TAX . 10 RAL 1 .49
CASH 20.00
CHANGE 18.51
TOTAL NUMBER OF ITEMS SOLD = 1
8/07/12 8:07 AM 0206 02 0005 121
YOUR CASHIER WAS ANNE
THANK YOU FOR SHOPPING
O ' MALIA
CHECK US OUT: http://www.omalias.com
10111ALIA #206 -�
4755 E. 126TH ST, �'
CARME L, IN 46033
K-1
4755
(317)844-4372 S
254 MARSH 11UN HOT DOG PC 1 .49 F
254 MARSH BUN HOT DOG PC 1 .49 F
254 MARSH BUN HOT DOG PC 1 .49 F
254 MARSH BUN HOT DOG PC 1 .49 F
254 MARSH BUN HOT DOG PC 1 .49 F
254 MARSH F`-UN HOT DOG PC 1 .49, F
**** TAX .00 BAL 8.94-----
CUSTOMER NUMBER 40004996063
SC 3185 MARSH BUN HOT DOG .24-F
SC 3185, MARSH BUN HOT DOG .24-F
SC 3185, MARSH BUN HOT DOG .24-F
SC 3185, MARSH BUN HOT DOG .24-F
SC 3185 MARSH BUN HOT DOG .24-F
SC 3185, MARSH BUN HOT DOG .24-F
**** TAX .00 BAL• 7.50
CASH 7.50
CHANGE .00
TOTAL NUMBER OF ITEMS SOLD = 6
8/12/12 7:34 AM 0206 01 0007 129
YOUR CASHIER WAS BARBARA - o
YOU SAVED
$ 1 . 94 ( 16% )
ON YOUR ORDER TODAY
YOUR SAVINGS ***+E******
COUPON PLUS SAVINGS 1 .44
TOTAL SAVINGS (16V) $ 1 .44
*********4 YOUR SAVINGS **# # ****
THANK YOU FOR SHOPPING
O ' MALIA
CHECK US OUT, http://www.omalias.com
With your Marsh Fresh Idea Card
You saved
$715.91 in 2011 .
You have saved
$69.67 in 2012.
Mar:ah Fresh IDEA Card
required for all offers.
Thank �iou for Shopping
Marsh!
'--
`
O U MA IA #206
4755 E.. 126rH S7.
CAHMEL, IN' 46033 ^
(B1?)84q�1972
xo'�rOnEk wUmSEx 40020006370
Z J1 }h @ 1 99 /\b
W 51')1 TUwO701-9 vIw[ n|pE PC y.66 r
2.34 !u C, 99 /Ih ~ 7.32
8C 2387 TOMATOES VINE RIPE 2.31-F
**** roK OO Un1- Z 32� '
CASH Z 35 '
^�
CxewGE 03
TO 0L NUMBER OF lTEMS S0LU ^ )
8/0Jl2 10:06 AM 0206 03 0008 163
YOUR [nSxlER WAS xoR6F
��U ��U��
/ uu �/ /v�u
� ~� �� (' 50% )
� � . �/
ON YOUR ORDER TODAY
/
**********
YOUR SAVINGS
COUPON PLUS SAVINGS 2,34
TOTHL SAVINGS (SOx) * 2.34
****«*^***
YOUR SAVINGS
TUxoNn YOU FOR SHOPPING
/ /n��n
D / ��| T�
y
CHECK US OUT: hftp://www.onnliau.cnm
W0h your Marsh Fresh Idea corJ
You saved
$81 ,5-1 in 20 11
Y"v have saved
$35.73 in 2012
war-,h Fresh lVEn Card
reqvo-ed [vr, alt o[f°rs
Thank uou for Shopping
Plarsh!
___- ......._�__----_
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$11.21
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 O'Malia 42-390.40 j $1.39 1 hereby certify that the attached invoice(s), or
1207 O'Malia 42-390.40 $2.32 bill(s) is (are) true and correct and that the
1207 I O'Malia I 42-390.401 $7.50
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, August 13, 2012
Director, Brookshire rolf6lub
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))
08/07/12 O'Malia Straws $1.39
08/07/12 O'Malia Tomatoes $2.32
08/12/12 I O'Malia I Buns I $7.50
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