222224 07/18/2013 ».f CITY OF CARMEL, INDIANA VENDOR: 365410 Page 1 of 1
i ONE CIVIC SQUARE BRIAN BALLARD CHECK AMOUNT: $2,250.00
` a CARMEL, INDIANA 46032 28 W EVENING ROSE WAY
vM o�io WESTFIELD IN 46074 CHECK NUMBER: 222224
CHECK DATE: 7/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 1 2, 250 . 00 ADULT CONTRACTORS
On co,
BROOKSHIRE o°
GOLF ' of CP*��
Invoice No. 0001
Brookshire Golf Club e. � Bill To Carmel Parks and Rec
12120 Brookshire Pkwy JUN 2 7 2013 Address
Carmel, IN 46033
317.846.7431 BY'
brookshiregolf.com Phone
E-Mail
Purchase � r
DescriptionjWZ5^1Ce enk CILb I� � Deposit Received
0.®®
P.O. # P or�
G.L. Invoice Subtotal e e e
#
Budget "� Tax $0.00
Line Descr lJf aam- Invoice Total $00.00
Purchaser Date 7 /-j
Approval Date 2 1 Total Amount Due $2250.06 13 Amount Paid $0
Date Description
1 June 25th, 2013 June Beginner Junior Clinic —�
25 Juniors @ $90 $2250.00
Please make check payable to: Brian Ballard
Deposit
Tax Food and Beverage @ 8%
Tax on Cart @ 7%
Amount Due
Subtotal e e e e
Tax e e e
GRAND TOTAL e e e
Tax Exempt #
Thanks for letting us serve you!
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Brookshire Golf Club Terms
12120 Brookshire Pkwy
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
6/25/13 1 Beginner Junior clinic June 29999 $ 2,250.00
Total $ 2,250.00
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
5
Voucher No. Warrant No.
Broom ire Go Iub Allowed 20
12120 B re Pkwy
C el, IN 46033
Bpi A7J 6f v— In Sum of$
7 $ 2,250.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 1 4340800 $ 2,250.00 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
10-Jul 2013
Signature
$ 2,250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund