216975 02/06/2013 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
0 .I ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF CO%CHE
CARMEL, INDIANA 46032 C/O PAM LISTER CK AMOUNT: $11.99
CHECK NUMBER: 216975
CHECK DATE: 2/6/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239099 11 . 99 OTHER MISCELLANOUS
W MALTA #206
4755 E. 126TH ST.
CARMEL, IN 46033
(317)844-4372
2400 PAID CAT FO DRY BLN PC 11 .99 T
**** TAX 34 BAT_ ` 12.153
" CUSTOMER NUMBER 48.0089610051
SC 2624 PAW CAT FD DRY BLN 2.00-T
**** TAX .70 BAL 10.69
CASH 20.00
CHANGE 9.31
TOTAL NUMBER OF ITEMS SOLU = 1
1/23/13 12:18 PM 0206 01 0006 143
YOUR CASHIER WAS CHHSE
YOU SAVED
$ 2 . 00 C 1700
ON YOUR ORDER TODAY
* ** * *rA YOUR SAVINGS
COUPON PLUS SAVINGS 2.00
TOTAL SAVINGS (17x) 3 2.00
* * * YOUR SAVINGS
THANK YOU FOR SHOPPING
O ' MALIA
CHECK US OUT: hffp://www.omalias.com
3F*3i*****it it*:f**iix�r.;fhhY*x*f.Y.-}iE:iiet:i*i,�*
?E*�'3tlh:ki�'it'***ik**?ElE*7E?Eit 3E i(*3E 3f:Ex*Y!*kiE ifi*'r.3:
Monday, January 28, is Marsh D-ay
at the Indianapolis Home Show at the
Indiana State Fairgrounds! Save
$13.00 on adult admission with this
Buy-one--get-one Free coupon for
Monday, January 28,onkA.
No other discounts apply. Present
this "Marsh Day Receipt" at the show
box office and SAVE. ihfs coupon is
good on tickeis purchased at the
show box office only.
Wiih your Marsh Fresh Idea Card
You saved
$11 .12 in 2012.
You have saved
$2.00 in 2013.
Marsh Fresh IDFA Card
required for all offers.
Thank you for Shopping
Marsh!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$11.99
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I O'Malia I 42-389.00 I $11.99 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
Monday, January 28, 2013
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))
01/23/13 O'Malia I Cat Food I $11.99
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