219865 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
�. ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF CO�g CHECK AMOUNT: $95.76
? CARMEL, INDIANA 46032 C/0 PAM LISTER
CHECK NUMBER: 219865
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 84 . 27 FOOD & BEVERAGES
1207 4350400 11 .49 GROUNDS MAINTENANCE
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))
04/24/13 Bread $2.98
04/29/13 Food $11.00
04/29/13 Food $32.99
05/01/13 Bread $9.92
05/02/13 Food $1.52
05/04/13 Bread $9.29
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
Petty Cash
IN SUM OF $
$67.70
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 42-390.40 $2.98 1 hereby certify that the attached invoice(s), or
1207 42-390.40 $11.00 bill(s) is (are) true and correct and that the
1207 42-390.40 $32.99
materials or services itemized thereon for
1207 42-390.40 $9.92
1207 42-390.40 $1.52 which charge is made were ordered and
1207 42-390.40 $9.29 received except
Monday, May 06, 2013
Director, Brook 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))
04123/13 O'Malia Food $4.00
04/26/13 O'Malia Food $5.00
04/27/13 O'Malia Food $4.95
04/28/13 Meijer Food $2.62
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$16.57
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 O'Malia 42-390.40 $4.00 1 hereby certify that the attached invoice(s), or
1207 O'Malia 42-390.40 $5.00 bill(s) is (are) true and correct and that the
1207 O'Malia 42-390.40 $4.95
materials or services itemized thereon for
1207 Meijer 42-390.40 $2.62
which charge is made were ordered and
received except
Monday, April 29, 2013
I
26-le
Director, Brooks i e 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))
05/03/13 March Cat Food I $11.49
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$11.49
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I March I 43-504.00 I $11.49 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
Friday, May 03, 2013
Director, Bro hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund