213844 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: T358633 Page 1 of 1
ONE CIVIC SQUARE AUNT MILLIE'S BAKERIES
` CARMEL, INDIANA 46032 7651 GEORGETOWN RD CHECK AMOUNT: $94.81
INDIANAPOLIS IN 46268 CHECK NUMBER: 213844
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 001812428517 55 .49 FOOD & BEVERAGES
1207 4239040 001812429315 19 .24 FOOD & BEVERAGES
1207 4239040 001812429316 20 . 08 FOOD & BEVERAGES
ROUTE 1812 ****Aunt Millie's Bakeries**** FRI 10119/2012 12:50
**** 7651 Georgetown Rd. **** PAGE 1
****Indianapolis, In 46268****
****Phone: (317) 872-0307 ****
****GEORGETOWN - DEPOT #18****
INVOICE # 001812429315
ACCOUNT #
1002765 BROOKSHIRE GOLF & COUNTRY CLUB
12120 BROKKSHIRE PKWY
CARMEL, IN,46032
SALES
QTY ITEM# UPC DESCRIPTION PRICE EXT AMT
1 157 0-7131400050-5 AM WHITE SAND 220Z 2.0900 2.0900
2 1982 0-7131400243-1 AMHRTH 100% WH WT 2.8000 5.6000
5 4680 0-7131400327-8 AM DELI STEAK SES 2.3100 11.5500
8 TOTAL SALES 19.2400
TOTAL SALES 19.24
TOTAL RETURNS 0.00
NET 19.24
PREVIOUS BALANCE 402.34
CASH AMOUNT DUE 421.58
COP Y
SIGNATURE
ROUTE 1812 ****Aunt Millie's Bakeries**** FRI 1011912012 12:52
**** 7651 Georgetown Rd. **** PAGE 1
****Indianapolis, In 46268****
****Phone: (317) 872-0307 ****
****GEORGETOWN - DEPOT #18****
INVOICE # 001812429316
ACCOUNT #
1002765 BROOKSHIRE GOLF & COUNTRY CLUB
12120 BROKKSHIRE PKWY
CARMEL, IN,46032
SALES
QTY ITEM# UPC DESCRIPTION PRICE EXT AMT
8 1640 0-7131400856-3 AM 16CT HOTOOG 2.5100 20.0800
8 TOTAL SALES 20.0800
TOTAL SALES 20.08
TOTAL RETURNS 0.00
NET 20.08
PREVIOUS BALANCE 421.58
CASH AMOUNT DUE 441.66
------------------ TLI-1 -1 ______ _------------------
SIGNATURE
ROUTE 1812 ****Aunt Millie's Bakeries**** THU 10/1112012 14:15
**** 7651 Georgetown Rd. **** PAGE 1
****Indianapolis, In 46268****
****Phone: (317) 872-0307 ****
****GEORGETOWN - DEPOT #18****
INVOICE # 001812428517
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
10 1640 0-7131400856-3 AM 16CT HOTDOG 2.5100 25.1000
3 1982 0-7131400243-1 AMHRTH 100% WH WT 2.8000 8.4000
3 4339 0-7131400350-6 AM DELI MINI SUB 2.3100 6.9300
22 TOTAL SALES 55.4900
TOTAL SALES 55.49
TOTAL RETURNS 0.00
NET 55.49
PREVIOUS BALANCE 301.67
CASH AMOUNT DUE 357.16
COP Y
SIGNATURE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Aunt Millie's Bakeries
IN SUM OF $
7651 Georgetown Road
Indianapolis, IN 46268
$94.81
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 001812428517 I 42-390.40 I $55.49 1 hereby certify that the attached invoice(s), or
1207 I 001812429315 I 42-390.40 I $19.24 bill(s) is (are) true and correct and that the
1207 I 001812429316 I 42-390.401 $20.08
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, October 22, 2012
4 Id 1-4.1',
Director, Brookshire olf 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))
10/11/12 I 001812428517 I Bread I $55.49
10/19/12 I 001812429315 I Bread I $19.24
10/19/12 I 001812429316 I Bread I $20.08
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