250306 1 0/07/1 5r
CITY OF CARMEL, INDIANA VENDOR: 00352899
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ONE CIVIC SQUARE ADRIENNE KEELING CHECK AMOUNT: $.....w.*27 70"
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CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 250306
C/O DOCS CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355100 27.70 PROMOTIONAL FUNDS
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Kolache Factory #074
Locally Owned and Operated
890 E 116th St, #100
Carmel, IN 46032
317-816-2253
434
Host: Shared4 10/02/2015
434 8:17 AM
40034
Sausage (6 @1 .00) 6.00 ,
Fruit (9 @1 .25) 11 .25 :
Jalapeno Popper (3 @1 .80) 5.40;
Bacon & Cheese (3 @1 .55) 4.65,
Sausage & Cheese (3 01 .70) 5.10'
Dozen Disc -3.24
MGR COMP
a
Sub Total 27.70
Tax 0.00
Order Total 27.70
27,70
Auth:08425P
Thank You For Choosing
Kolache Factory
a history of good taste.
Franchises Available
kolachefactory.com
--- Check Closed ---
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))
10/02/15 $27.70
i
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Adrienne Keeling
IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$27.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-551.00 $27.70
I hereby certify that the attached invoice(s), or
I I I
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
Monda , Oc ber 5, 2015
Direct
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund