250140 10/21/15 Q
CITY OF CARMEL, INDIANA VENDOR: 00352899
ONE CIVIC SQUARE ADRIENNE KEELING CHECK AMOUNT: S"""'372.00'
CARMEL, INDIANA 46032 C/o Docs CHECK NUMBER: 250740
C/o Docs CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357002 990013854216 372.00 EXTERNAL TRAINING FEE
INVOICE
Invoice#:99001385421604 STORE USE ONLY
Event Date/Time: Order Number:9900138
10/13/2015 5:30PM Date Ordered: 10/12/201 4:10:36 PM
Bill To: , CTR Delivery
Company:City of Carmel Contact: Adrienne Keeling
Customer:Adrienne Keeling Address:
Address: 1 Civic Square Address: I Civic Square
Address: Address:
City,State Zip: Carmel, IN 46032 City,State,Zip: Carmel, IN 46032
Bus#:3174026629 Cell#: Home#: Contact#:3174026629
HA#: Not Applicable Directions:
Quantity Description Cost
I Lg Custom CC Sandwich $260.00
1 Lg CC Soup Choice $20.00
1 Small Box Traditional Tea $15.00
1 Box Old Fashioned Lemonade $15.00
Sign up for our eCafe Total Sales: $310.00
to receive all the latest Adjustments: $0.00
on what's happening at Delivery Fee: $31.00
Corner Bakery Cafe. Sales Tax: $0.00
www.cornerbakerycafe.com Sub-Total: $341.00
Your opinion is important! Gratuity: . 3,60
Go to www.cafefeedback.com Final Total: 3312.0'
or call 866-306-6162 within 72
hours and tell us about your visit. You could Payments:
win$2000.00 in our monthly drawing. Mastereard(4656)$341.00
Code:00000138990
GUEST SICNAT
Print Name7m�(eo �CLP P—a,
Store Information Food Safety Tips All Credit Card payments are Pre-authorized up to 30
Days in Advance and processed on the day of Delivery
Clay'Terrace Consume or Refrigerate below 4 ll-,/5C
14550 Cla Terrace Blvd remit House Account payments to
within 2 hours
9100 -reheat food to at least 165F/74C Cafe Patel,LLC
Carmel.IN 46032 only once
Tele:317-844-9930 5432 Ashby Ct
Fax:317-844-9931 Greenwood, IN 46032
Email:
cornerbakmcafcI604 a gmail.com Discard after 48 hours
S4:20120227 Date/Time Pr;nted: 10/13/2015 7:43:46 AM
uttnnII)nz,)u
j 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))
10/12/15 99001385421604 Dialog Dinner $372.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Adrienne Keeling IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$372.00 A.
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 1990013854216041 43-570.02 1 $372.00 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
I
Thursday, Oct erM 2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund