247868 07/28/1 5 'r CITY OF CARMEL, INDIANA VENDOR: 354402
® j ONE CIVIC SQUARE DAVID HABOUSH CHECK AMOUNT: $ ...1,900.00"
a CARMEL, INDIANA 46032 1942 TROWBRIDGE HIGH STREET CHECK NUMBER: 247868
CARMEL IN 46032 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 1,900.00 OTHER EXPENSES
aie�
SALES INVOICE 0193919781
_� "—
Q(Q AT WESTFIELD
14647 Thatcher Lane EVENT DATE Y V 7JZZ
Carmel, IN 46032
Phone:317-815-9465 TIME
WWW.0 ick-fil-a.com/westfield DELIVER/ CKU (CIRCLE ONE)
CUSTOMER NAME&p I -
AYUPON PICK-U /TO BE COLLECTED/PAID
(CIRCLE ONE)
DR/COMPANY NAME
161 r •
DELIVERY ADDRESS l (7���7g
TELEPHONE NUMBER(S) bmtln (��'are�. in ' 4o ✓ NOTES/SPECIAL INSTRUCTIONS:-
QUANTITY ITEM TOTAL C
P
TEM RIE/ /ITEM'
ORDERED I - f
ROY G t
r
-- � Il, df'i.S
Vftuce _
Z LL N ; on .Ae,�'
LE 4.,.
All payments are due within 15 days of delivery. • INITIALS
Late payments are subject to a 1 112%per month
service charge.
1 7"" e
l
`� t� White-Customer,Yellow-Store,Pink-Daily Report
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
i 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))
FF for a Day $1,075.00
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
Dave Haboush
IN SUM OF $
$1,075.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 120-851.00 $1,075.00 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
JUL 2 7 2095
dyvvl��v
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
•®®®_ say 0193919782
AT WESTFIELD
3
-v 14647 Thatcher Lane EVENTDATE ��
*
Carmel, IN 46032 TIME I I IS�n�
Phone:317-815-9465
flfl www.cpicklfil-a.com/westfield DELIVER/ ICK CIRCLE ONE)
CUSTOMER NAME&NBrandV
P UPON PIC P TO BE COLLECTED/PAID
-MVIAIRCLE ONE)
DR/COMPANY NAME
earn p . :
DELIVERY ADDRESS
TELEPHONE NUMBER(S)
V NOTES/SPECIAL INSTRUCTIONS:
QUANTITY
- --— ORDERED ITEM PRICE/ITEM TOTAL/ITEM /]1 YL 1 7/��/' Q✓C
LU C1` Es U
f�911000 IN/rn Ti_1 J
I� S
I'M PS
o L - ,,
ISO ROY ti'-CAILLO SAD. 4M. 6� ' Of) 4-P'In.
i
All payments are due within 15 days of delivery. m INITIALS
Late payments are subject to a 1 1/2%per month 01 If In AA 02
service charge. _
r
^ I V}Fail
-71I( White-Customer,Yellow-Store,Pink-Daily Report
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))
$825.00
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
Dave Haboush
IN SUM OF $
$825.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 120-851.00 $825.00 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 1111 2 7 201
fi
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund