223607 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF COTgg CHE
CARMEL, INDIANA 46032 C/O PAM LISTER CK AMOUNT: $243.60
CHECK NUMBER: 223607
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4235000 55 . 35 BUILDING MATERIAL
1207 4239040 188 . 25 FOOD & BEVERAGES
DH ER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Cash
IN SUM OF $ 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.
$62.22 Payee
Purchase Order No.
ACCOUNT OF APPROPRIATION FOR
Terms
Brookshire Golf Club
Date Due
1 Invoice Invoice Description Amount
M pt. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s))
Marsh 42-350.00 $55.35 1 hereby certify that the attached invoice(s), or 08/23/13 Marsh Cleaning Products $55.35
O'Malia 42-390.40 $6.87 bill(s) is (are)true and correct and that the 08/26/13 O'Malia Bread $6.87
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, August 26, 2013
u; Director, Broo hire Golf Club
Title
ost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
aim paid motor vehicle highway fund with IC 5-11-10-1.6
?. 20
Clerk-Treasurer
8/21/13 https://w w.tabledothsfactory.com/Receipt_PrinterFriendly.asp?OrderID=552752
Date: Order#:
www.tablecloth-bY'd-ctory.com 8/21/2013 552752
Bill To:(CustomerID#334463) Ship To:
Pamela Lister Brookshire Golf Club
11598 Mansfield Place Pamela Lister
Carmel,IN 46032 12120 Brookshire Parkway
United States Carmel,IN 46033
3175819197 United States
Pllister@msn.com 3178467422
Payment Method: Shipping Method:
Credit Card:Visa Special Shipping Deal 7-10 Business Days
Pamela L Lister
************3362
Code Description Qty Price Total
WALL TAB 90 WHT White 90" Polyester Round Tablecloth 11 $8.99 $98.89
A28A TAB-5496 WHT White Polyester Tablecloth 54x96" 6 $8.49 $50.94
A32A TAB_50120 WHT White Polyester Tablecloth 50x120" 2 $9.49 $18.98
DSC-64 20%off-storeWde 1 -$33.76 -$33.76
Subtotal: $135.05
Tax: $0.00
Shipping and Handling: $6.95
Grand Total: $142.00
https:/Am&w.tableclothsfactory.com/Receipt_PrinterFriendly.asp?OrderlD=552752 1/1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$142.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I Tableclothfactoryl 42-390.40 l $142.00 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
Wednesday, August 21, 2013
a.
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))
08/21/13 Tableclothfactory Table Cloths $142.00
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 $
$14.84
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 Entenmanns 42-390.40 $9.88 1 hereby certify that the attached invoice(s), or
1207 O'Malia 42-390.40 $4.96 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, August 19, 2013
Director, Broo hire 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))
08/13/13 Entenmanns Food $9.88
08/19/13 O'Malia Food $4.96
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 $
$24.54
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 O'Malia 42-390.40 $8.00 1 hereby certify that the attached invoice(s), or
1207 O'Malia 42-390.40 $10.00 bill(s) is (are) true and correct and that the
1207 I O'Malia I 42-390.40 I $6.54
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, August 12, 2013
Director, Broo hire 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))
08/02/13 O'Malia Food $8.00
08/04/13 O'Malia Food $10.00
08/09/13 I O'Malia I Food I $6.54
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