241729 02/03/15 CITY OF CARMEL, INDIANA VENDOR: 115250
¢' ONE CIVIC SQUARE GUEST SERVICES, INC C/O NECT CHECK AMOUNT: $*******300.48*
CARMEL, INDIANA 46032 EMM5SBURGMDV21727 CHECK NUMBER: 241729
ETON CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 24680 194289 300.48 HOFFMAN MEAL TICKET
Guest Services, Inc Invoice
16825 S. Seton Ave.
Emmitsburg, MD 21727 Date Invoice#
1/25/2015 194289
Bill To
City of Carmel
2 Carmel Civic Square
Carmel,IN 46032-2584
P.O. No. Terms Project
24680
Item Description Qty Cost Amount
Meals Matthew Hoffman dinner 1/25-lunch 2/6 1 300.48 300.48
Total $300.48
Total Due $300.48
0 INDIANA RETAIL TAX EXEMPT PAGE
(UiWA - o11 Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NIJMBER
FEDERAL EXCISE TAX EXEMPT 246'
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
112312015
Guest Services Cannel Fire Department
VENDOR SHIP 2 Carel Civic Square
TO
15525 South Seton Avenue Carmel, IN 46032
Emmitsburg, MD 21727 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
�V
QUANTITY UNI OFMEA_. R DESCRIPTION UNITFRICH EXTEIdS/On/
Account 43-430.02
1 Each Meal Ticket - ���- �4-�`y�����-� $300.48 $300.48
Sub Total: $300.48
�_• V°• .
Send Invoice To:
Carmel Fire Department
2 Cannel Civic Square
Carel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carel Fire Department PAYMENT
p A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
24680 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Guest Services
IN SUM OF$
16825 South Seton Avenue
Emmitsburg, MD 21727
$300.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24680 194289 43-430.02 $300.48 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
hom, rates per day, number of hours,rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
i
i
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
194289 $300.48
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