HomeMy WebLinkAbout229906 03/12/14 CITY OF CARMEL, INDIANA VENDOR: 354964
® r ONE CIVIC SQUARE GARY DUNCAN CHECK AMOUNT: $ .....124.82*
CARMEL, INDIANA 46032 13129 FOSTER CR CHECK NUMBER: 229906
CARMEL IN 46033 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 124.82 EXTERNAL TRAINING TRA
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BOB EVANS
7525 E 96th St
Indianapolis, IN
(317)913-0604
Restaurant # 0415
Order # 236025
Date 2/27/2014
Time 10:18:15 AM
Server LATASHA P
SALE $ 11 .64
'rIP $ 2.00
--------------
TOTAL $ 13.64
Card Type
Acct.Number:
Issued To JR DUNCAN/GARY R
AuthCode 02725R
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Indianapolis IN 46256
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JOIN mail"
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SPEEDWAY
0008028-Arcadia,IN
150 E 236th St
Arcadia , IN 46030-9775
(317)758-5197
Register:100 Transaction#1069194
2/13/2014 3:27:04 AM
Pay At Pump Sale
Pump # 8 Unleaded, Self Serve, Cash
29.351 Gallons @ $3.399/Gal 99.76
Sub. Total : $99.76
iax: $0.00
Total : $99,76
Discover: $99.76
Change $0.00
I
Card Num
XXXXXXXXXXXI.
TERM:
0050008026001
APPR#: 01312R
SEO#: 044044008
02/13/2014 08:21 :31
Cardholder agrees to
pay to issuer total
charges per the
agreement between
cardholder & issuer.
Thank You
Visit us at
www.speedway.com
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PERKINS RESTAURANT & BAKERY
Store #2483
250 Noble Creek Drive
Noblesville , IN 46060
(317) 776-2800
Date : Feb11 ' 14 09 : 35AM
Card Type : `
Acct # : XXXXXXXXXXX'
Card Entry : SWIPED
Trans Type : PURCHASE
Trans Key : A1=EO11142853172
Auth Code : 133109
Check : 8585
Table : 10/ 1
Server : 41 JACLYN
Subtotal : .1 1 4 2
Ti p.' — - -------�!__ _ - -
-
Total
I agree to pay the above total
according to my card issuer
agreement .
GUEST COPY
r i
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
Gary Duncan Purchase Order No.
Assistant City Engineer Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
1/0/1900 0 Hamilton Co Surveyor B-fast Meeting $ 11.42
1/0/1900 0 Gas for E3;Stormwater Conference W. Laf $ 99.76
1/0/1900 0 Stormwater Standards meeting $ 13.64
Total $ 124.82
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 NC WARRANT NO.
Gary Duncan ALLOWED 20
Assistant City Engineer IN SUM OF $
$ 124.82
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPTu I hereby certify that the attached invoice(s),
0 0 2200-4343002 $ 11.42 or bill(s) is (are)true and correct and that the
materials or services itemized thereon for
0 0 2200-4343002 $ 99.76 Which charge is made were ordered and
0 0 2200-434300 $ 13.64 received except
3/10/2014
Si nature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund