212914 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: T358633 Page 1 of 1
ONE CIVIC SQUARE AUNT MILLIE'S BAKERIES CHECK AMOUNT: $45.18
CARMEL, INDIANA 46032 7651 GEORGETOWN RD
INDIANAPOLIS IN 46268 CHECK NUMBER: 212914
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 001812426118 45 . 18 FOOD & BEVERAGES
ROUTE 1812 ****Aunt Millie's Bakeries**** MON 0911712012 12:54
**** 7651 Georgetown Rd. **** PAGE 1
****Indianapolis, In 46268****
****Phone: (317) 872-0307 ****
****GEORGETOWN - DEPOT #18****
/ INVOICE # 001812426118
ACCOUNT #
1002765 BROOKSHIRE GOLF & COUNTRY CLUB
12120 BROKKSHIRE PKWY
CARMEL, IN,46032
SALES
QTY ITEM# UPC DESCRIPTION PRICE EXT AMT
6 1632 0-7131400855-6 AM 16CT HAMBURGE 2.5100 15.0600
12 1640 0-7131400856-3 AM 16CT HOTOOG 2.5100 30.1200
18 TOTAL SALES 45.1800
TOTAL SALES 45.18
TOTAL RETURNS 0.00
NET ' 45.18
PREVIOUS BALANCE 447.62
CASH AMOUNT DUE 492.80
__________________________________ THANK YOU
SIGNATURE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Aunt Millie's Bakeries
IN SUM OF $
7651 Georgetown Road
Indianapolis, IN 46268
$45.18
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 001812426118 I 42-390.40 I $45.18 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
Tuesday, September 18, 2012
j /�
Director, Broo 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))
09/17/12 001812426118 Bread $45.18
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