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Home My WebLink About220747 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1 ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF CO�g CHE CARMEL, INDIANA 46032 C/O PAM LISTER CK AMOUNT: $278.91 CHECK NUMBER: 220747 4't-ro_ip CHECK DATE: 6/4/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 136 . 92 FOOD & BEVERAGES 1207 4350000 141 . 99 EQUIPMENT REPAIRS & M VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF $ $136.92 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 Sams 42-390.40 $8.68 1 hereby certify that the attached invoice(s), or 1207 Omalia 42-390.40 $6.00 bill(s) is (are)true and correct and that the 1207 Entenmanns 42-390.40 $3.00 materials or services itemized thereon for 1207 Sams 42-390.40 $3.70 which charge is made were ordered and 1207 Meijer 42-390.40 $4.57 1207 Sams 42-390.40 $12.37 received except 1207 I Meijer I 42-390.401 $21.89 1207 GFS 42-390.40 $14.97 1207 Entenmanns 42-390.40 $7.50 1207 I O'Malia I 42-390.40 I $19.98 Monday, June 03, 2013 1207 I Costco I 42-390.401 $34.26 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)) 05/16/13 Sams Food $8.68 05/16/13 Omalia Food $6.00 05/24/13 Entenmanns Bread $3.00 05/24/13 Sams Food $3.70 05/24/13 Meijer Food $4.57 05/26/13 Sams Food $12.37 05/27/13 Meijer Food $21.89 05/27/13 GFS Food $14.97 05/29/13 Entenmanns Bread $7.50 05/30/13 O'Malia Food $19.98 05/31/13 I Costco I Food I $34.26 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 Allied Auto Hail Repair Corporate Headquarters ! (317) 397-3444 Northside Location 9460 E.Washington Street �} Efax: 1-888-346-9264 11771 N.Technology Ln.,Ste. 100 Indianapolis,IN 46229 Email:myhailrepair @gmail.com Fishers,IN 46038 Name Dal Address Insurance Cry x S p Code GJ� Claim Number Ham ' .Time Appt.Dade Estimator Work# Referred By ��' Technician VehQ// E-mail '.Vin# o, ��✓ c PANG. DESCRIPTION AMOUM 1. HOOD S 1 ROOF 4 3<4z� � °J $ FRONT 3. TRUNK/TAILGATE d, $ J v "�- 4. L RAIL S. L 114 1 6 Lit DOOR S 7 8 7. lF DOOR $ 8. LF FENDER 6 9 9. RF FENDER 3 10. RF DOOR s 2 11. RR DOOR $ 12. R RAIL 3 5 10 13. R 1/4 $ 14. RN HEAMOR 4 4 $ f�^ / INVOICE w,/ S 4 11 suBLET S 3 PARTS/AWL REPAIRS A S TAX REM LABOR s CUSTOMER TOTAL Comment/Supplement Secti®n CUSTOMEWS IMCLU®IS TMM 1. You may not be charged more than the written estimate without your consent. 2. Repairs not originally authorized by you may not be charged to you without consent. Allied Auto Hail Repair(AAHR)is not responsible for the security or condition of any personal property left in vehicle. I authorize the repairs listed above using AAHR paintless techniques. I authorize AAHR technicians to operate my vehicle for transfer and delivery.An express"mechanics lien"is hereby granted. i agree to pay in full listed"CUSTOMER TOTAL"prior to release of vehicle and lien.This agreement may not be ame6c ed in writing. I agree to pay any reasonable a ey's f an ou co is incurred in the collection of this account,or the perfection of any lien. 41- 81 t i er's Signature I have inspected the repairs made to this vehicle and found them satisfactory. sig re_._}ndi ace ni product and I assume responsibility for payment for the repairs made. Customer's Signature VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF $ $129.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I Allied I 43-500.00 I $129.00 I 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 Thursday, May 30, 2013 &rector, Brookshir 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)) 05/28/13 Allied Repair Car Damage $129.00 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF$ $12.99 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I Tractor Supply I 43-500.00 I $12.99 I 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, May 28, 2013 Director, Brooks A 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)) 05/23/13 Tractor Supply Repair Parts $12.99 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