216954 01/30/2013 ��. CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF COBCHES
€ CK AMOUNT: $185.00
CARMEL, INDIANA 46032 C/0 PAM LISTER
CHECK NUMBER: 216954
CHECK DATE: 1/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4343002 15 . 00 EXTERNAL TRAINING TRA
1207 4355300 170 . 00 ORGANIZATION & MEMBER
Circle Centre Mall
indianapolis, IN
Fee Computer Number: 12
Cashier: Tesfay F. Id #147
Transaction Number: 33727
Entered: 01/11/2013 07:34
Fxiteo: 01/11/2013 13:52
Ticket: 1.14121 Dispenser #40
Lot: World Wonders
Area: Area 1
Rate: Daily 2012 Rate
Parking Fee: $ 15.00
Total Fee: $ 1`;.00
Cash: $ 15.00
Total Paid: $ if).00
Thank You
Denison Parking
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PLEASE PRINT NEATLY. Membership(circle) MRTF INLA
Company �o(L54►,f e �o`�Cv✓! <
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Phone 31-)-- �(o��?�� Fax
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First Name Middle Initial Last Name
-1. ��. � b 1-t.c ✓! S
2. J
3.
4.
Cost Amount
Member Nonmember # Due
Tradeshow Only Badges $10 $20
Registration:Education&Tradeshow t#i&2) $130 ea $170 ea
Ea.additional member: Ed.&Tradeshow $45 ea $170 ea
One Day Only(Education&Tradeshow) 390 ea $120 ea
Workshop (Letter) $70 ea $120 ea
Tradeshow Lunch(Thursday only) $15 $15
Association/Foundation Membership see application
Total Amount Due c
Make all checks payable to Indiana Green Expo or charge
Circle: Visa Mastercard Discover - �
Signature
Office Use:
Date - Amt. Check#
Card Number
Expiration Date
' k
Received by
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$185.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I IN Green Expo I 43-553.00 I $170.00 1 hereby certify that the attached invoice(s), or
1207 I Parking I 43-553.00 I $15.00 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, January 22, 2013
Director, Brooks 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))
01/11/13 IN Green Expo Expo $170.00
01/11/13 Parking Parking for Expo $15.00
I 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