225937 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF Coy-%CK AMOUNT: $93.37
CARMEL, INDIANA 46032 C/O PAM LISTER
CHECK NUMBER: 225937
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 93 . 37 FOOD & BEVERAGES
1
W MALTA #206
4755 E. 126TH ST..
CARMEL, IN 46033
(317)844-4372
1978 N OWN WHLWHT PC 3.99 F
1976 NO ORGNC HNYWHEAT PC 3.99 F
x*r* TAX .00 BAL 7.98
CUSTOMER NUMBER 40020008370
SC 2225 NO ORGNC HNYWHEAT 1 .49-F
SC 2225 N OWN WHLWHT 1 ,49-F
£ � TAX .00 BAL 5.00
CASH 10.00
CHANGE 5.00
TOTAL NUMBER OF ITEMS SOLD = 2
10/26/13 10:09 AM 0206 05 0009 134
YOUR CASHIER WAS NICK
YOU SAVED
$ 2 . 98 ( 37% )
ON YOUR ORDER TODAY
YOUR SAVINGS
COUPON PLUS SAVINGS 2.98
TOTAL SAVINGS (37%) S 2.98
*#******* YOUR SAVINGS
THANK YOU FOR SHOPPING
O ' MALIA
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With your Marsh Fresh Idea Card
You saved
$124.89 in 2012.
You have saved .
$207.17 in 2013.
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Thank you for ShoPPlns
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$5.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I O'Malia I 42-390.40 I $5.00 l 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
Monday, October 28, 2013
Z,-, ,d 41,1
Director, Brooksh117Golf 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))
10/26/13 O'Malia I Food I $5.00
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 $
$88.37
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I Classic I 42-390.40 I $3.99 1 hereby certify that the attached invoice(s), or
1207 I O'Malia I 42-390.40 I $1.86 bill(s) is (are) true and correct and that the
1207 I O'Malia I 42-390.401 $9.15
materials or services itemized thereon for
1207 I GFS I 42-390.401 $14.94
1207 Sam's I 42-390.40 I $17.72 which charge is made were ordered and
1207 I Target I 42-390.40 I $9.96 received except
1207 Dick's 42-390.40 $3.99
1207 O'Malia 42-390.40 $6.00
1207 O'Malia I 42-390.40 I $20.76
Monday, November 04, 2013
Director, 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))
10/28/13 Classic Food I $3.99
10/29/13 O'Malia Food $1.86
10/29/13 I O'Malia I Food I $9.15
11/01/13 I GFS I Food I $14.94
11/01/13 I Sam's I Food $17.72
11/01/13 I Target I Food I $9.96
11/01/13 Dick's Food $3.99
11/02/13 O'Malia Food $6.00
11/02/13 O'Malia Food $20.76
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