222833 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 365410 Page 1 of 1
ONE CIVIC SQUARE BRIAN BALLARD
CARMEL, INDIANA 46032 CHECK AMOUNT: $990.00
HECK NUMBER: 222833
CHECK DATE: 8/13/2013
7
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER MOUNT DESCRIPTION
1096 4340800 2 990 . 00 ADULT CONTRACTORS
#%RE 00
BROOKSHIRE o°
GOLF CLUB
s e
m m
OC CPa�
Invoice No. 0002
Brookshire Golf Club Bill To Carmel Parks and Rec
12120 Brookshire Pkwy Address
Carmel, IN 46033 JUL 2 5 2013
317.846.7431 Lnl�l :
brookshiregolf.com -_ -� Phone
E-Mail
Purchase ���` ,�
Description `a.-�1` �.1 Deposit Received
r
P.0. # A C 00 L4Lt01z P o� 0.00
G.L. #X_q(12 Invoice Subtotal e e e
Budget �� V_ Tax $0.00
Line Descr�
Invoice Total $0,0.00_`
Purchaser Date'?
Approval Date tal Amount Due 990X&
Amount Paid $0
� . . • •unt
July 15th, 2013 June Beginner Junior Clinic
11 Juniors @ $90 $990.00,
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 $0:001!
GRAND TOTAL $•50.001
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.
365410 Ballard, Brian Terms
12120 Brookshire Pkwy
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
7/15/13 2 Beginner Junior clinic June 30099 $ 990.00
Total $ 990.00
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.
365410 Ballard, Brian Allowed 20
12120 Brookshire Pkwy
Carmel, IN 46033
In Sum of$
$ 990.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
Po#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1096-42 2 4340800 $ 990.00 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
8-Aug 2013
Signature
$ 990.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund