250810 10/21/15 yy d Cgp�F
CITY OF CARMEL, INDIANA VENDOR: 00350363
ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $********26.47*
s. a CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK NUMBER: 250810
9M/TON C/O MAYOR'S OFFICE CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 26.47 PROMOTIONAL FUNDS
C
ro er
Great food. }7�� CSS
Lai prices.
1217 S. RANGELINE RD.
317-846-4818
YOUR CASHIER WAS BRIAN
ROSR PCN TEA 6.49 F
GIVE SCONE 3.99 F I O
GIVE CIN RLL 3.99 F 1
KROGER TAUS CUSTOMER *****0�40053 I
BALANCE 14.47
"' 96032
Purchase ,.,__
REF#: 213788 TOTAL: 14.47
14.47
-�nrnr'E 0.00 �!� 'n
TOTAL NUMBER OF ITEMS SOLD 1 3 n
10/05/15 08:49am 959 13 11 139
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McCormick & Schmick s
-110 North Illinois St
Indianapolis, IN 46204
(317) 631-9500
Server: DWIGHT 10/15/2015
Fast Close/1 2:15 Phi
Guests: 0 20027
i
_Area: Bar
Valet Sales 12,00
Subtotal 12.()0
Total 12.00
Cash $20.00
Change $8.00
Suggested Gratuity
20% Gratuity=$ 0.00
18% Gratuity=$ 0.00
15% Gratuity=$ 0.00
For banquet events, balance due includes
suggested gratuity if accepted.
--- Check Closed ---
VOUCHER NO. WARRANT NO.
ALLOWED 20 �
Petty Cash
IN SUM OF$
One Civic Square
Carmel, IN 46032
$26.47
I
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 Receipt 43-551.00 $14.47 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1160 1 Receipt 1 43-551.00 1 $12.00
materials or services itemized thereon for
which charge is made were ordered and
received except ,I
Sunday, October 18, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/05/15 Receipt $14.47
10/15/15 Receipt $12.00
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