214310 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 362219 Page 1 of 1
0 ` ONE CIVIC SQUARE GUIDE BOOK PUBLISHING
i, CARMEL, INDIANA 46032 PO Box 240430 CHECK AMOUNT: $395.00
BALLWIN MO 63024
CHECK NUMBER: 214310
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4346500 142BROO78-20 395 . 00 CITY PROMOTION ADVERT
I N V 0 1 C E
GUIDE BOOK PUBLISHING
P.O. Box 240430
Ballwin, MO 63024
St. Louis Area (636) 391-2121 Other Areas (800) 597-3037
October 25, 2012
Terms: Payable Upon Receipt
BROOKSHIRE GOLF CLUB
BRIAN BALLARD Account Number: 142 BR0078- 2012
12120 BROOKSHIRE PARKWAY Sales Date: October 23, 2012
CARPTEL IN 46033 Sales Representative: ROF
Book Name: Carmel Lutheran Church - Carmel
Ad Size: 1/4 Page
Ad Location: Inside Pages
Ad Layout: Horizontal
Your advertisement to be placed in
the annual Guide Book and Directory $39 .00
Payments Made Date Received
$0.00
Total Paid $0.00
Total Balance Due $395.00
Cut here and return lower portion with payment.
Please make check payable to:
GUIDE BOOK PUBLISHING
P.O. Box 240430
Ballwin, MO 63024
— - Please reference your-Account Number on your check:
142 - BR0078- 2012
THANK YOU - EVE APPRECIATE YOUR BUSINESS!
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))
10/23/12 1 142 BR0078-201� Advertising I $395.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Guide Book Publishing
IN SUM OF $
P.O. Box 240430
Ballwin, MO 63024
$395.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 142 BR0078- I 43-465.00 I $395.00 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, October 30, 2012
Director, Bro ok shir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund