249691 09/23/15 "f CITY OF CARMEL, INDIANA VENDOR: 355466
d j ONE CIVIC SQUARE KEITH FREER CHECK AMOUNT: S"''"'"85.46'
?a CARMEL, INDIANA 46032 1413 N.FAIRVIEW STREET CHECK NUMBER: 249691
'•y_oN Eo. ALEXANDRIA IN 46001 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER , INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 REIMB 85.46 OTHER EXPENSES
Thank You For Choosing
Papa Johns Pizza
Restaurant #1485
TAX EXEMPT
Name: Carmel Fire Dept.
Address: 2 Civic Sy
Carmel, IN 46032
Phoneii: (317) 571-2600
Order #: 0004 Phone /Carryout
----------------------------
`-' Michael 09/18/2015 11:36 AM
2 <10 14" Original 34.00
+2 Pepperoncini Pepper,
+2 Garlic Sauce Cup
+Work
2 <10 14" Original 27.00
+2 Garlic Sauce Cup
+2 Pepperoncini Pepper
+Pepperoni
2 <10 14" Original 27.00
+2 Pepperoncini Papper
+2 Garlic Sauce Cup
+Sausage
2 <10 14" Original 30.00
+2 Garlic Sauce Cup
iMushrooms
� . +Beef
+2 Pepperoncini Pepper
1 <10 14" Original 17.00
+Vegi
r +1 Garlic Sauce Cup
+1 Pepperoncini Pepper
(' 1 <10 14" Original 12.00
+i Pepperoncini Pepper
m, ""1 Garlic Sauce Cup
. 2 2Ltr Pepsi 5.9$
`l. 2Ltr Dr Pepper 5.98
2 2Ltr- p
Diet Pepsi 5.98
2 2Ltr- Mountain Dew 5.98
----------------
a Subtotal: 170.92
Discount: 85.46
Beverage Tax: 0.00
Food Tax: 0.00
Total Tax: 0.00
rotal: 85.46
eighty five dollars and 46/100 cents
--------------------
a 4 14:4:.k.--. -------
Papa Johns
Restaurant #1485
10598 North College Avenue
Indianapolis, IN 46280
(317) 846-7272
------------------------------------------
Name: Carmel Fire Dept.
Address: 2 Civic Sq
Carmel, IN 46032
------------------------------------------
Order #: 0004 Phone /Carryout
-----------------------------------
Michael 09/18/2015 11:36-AM
Card Type:
Authorization #: 01803B
Reference #: 279615
Batch ID:
Subtotal: 85.46 -
Tax: 0.00
Total: 85.46
Discover: 85.46
Tip:
r
Total:
Additional Tender Amt: 0.00
Customer Signature
i-
X ..+.
Customer Copy
----------------------
I agree to pay total amount according to
the card issuer agreement.
Thank You For Choosing
Papa ,Johns
4 44 4.'4 K 414.4 K'44:KA 444 4'4'4.K KA 44A'A 44 K4 4'4"4 K.K 4.�K
'44'4444'44444K A.4 Kk4A4K4 K44444'4'4"4444=4'K.K'4'.4A#
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))
$85.46
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Keith Freer
IN SUM OF $
$85.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 120-851.00 $85.46 I 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
SEP 2 1 2015
r,
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund