252001 12/02/15 +�r.Cgq�F
q CITY OF CARMEL, INDIANA VENDOR: 129401
;, b 'I ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CHECK AMOUNT: $********52.29*
;a CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 252001
'M;;o CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355100 REIMB 34.86 PROMOTIONAL FUNDS
1192 4357001 REIMB 17.43 INTERNAL TRAINING FEE
Einstein Bros Bagels
Store # 2280
2350 East 116th St
317-848-9888
ToGo 178
Host: 11/19/2015
ToGo178 7:35 AM
10075
Order Type: TOGO
House Coffee Joe ToGo 15.99
Decaf Coffee Joe ToGo 15.99
Subtotal 31 .98
Tax 2.8E
TOGO Total 34 . 85
34.86
Auth:125859
SIGNATURE :
Join our Shmear Society for a
FREE bagel & shmear with purchase
at einsteinbros.com
Limited time-$1 off pumpkin shmear
on any bagel . Exp 11/25/15 PLU 8147
--- Check Closed ---
Einstein Bros Bagels
Store # 2280
2350 East 116th St
317-848-9888
ToGol79
Host: 11/19/2015
ToGo179 7:35 AM
10076
Order Type: TOGO
House Coffee Joe ToGo 15.99
Subtotal 15.99
Tax 1 .44
TOGO Total 17 . 43
17.43
Auth:125869
SIGNATURE
Join our Shmear Society for a
FREE bagel & shmear with purchase
at einsteinbros.com
Limited time-$1 off pumpkin shmear
on any bagel . Exp 11/25/15 PLU 8147
--- Check Closed ---
Prescribed by State Board of Accounts City Form No.20\.
ACCOUNTS PAYABLE VOUCHER (Rev""',/
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))
11/19/15 $17.43
11/19/15 $34.86
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Michael Hollibaugh ALLOWED 20
IN SUM OF$
c/o One Civic Square
Carmel, IN 46032
$52.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-570.01 $17.43 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1192 43-551.00 $34.86
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, November 30, 2015
Direct
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund