HomeMy WebLinkAbout258282 05/06/16 (9)
CITY OF CARMEL, INDIANA VENDOR: 357303
ONE CIVIC SQUARE ROBERT HENSLEY CHECK AMOUNT: $*******152.60*
CARMEL, INDIANA 46032 400 GREYHOUND PASS CHECK NUMBER: 258282
CARMEL IN 46032 CHECK DATE: 05/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 042316 152.60 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Forth No.201(Rev.1995)
ROBERT HENSLEY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
400 GREYHOUND PASS IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by
CARMEL,IN 46032 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$152.60 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Fire
Date Due
Invoice Date Invoice# Description Amount
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s))
0 50-239.90 $152.60 05/03/16 0 Banquet Expense $152.60
851 ?1 i 1 nl 651 I I hereby certify that the attached invoice(s),or 851 851
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
Tuesday,May 03,2016
'7�. : 'I¢f
David Haboush
Fire Chief
Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5-11-10-1.6
,20_
Clerk-Treasurer
raga Johns Page 1 of 4
Restaurant #0192
2001-7 East Greyhound Pass
Carmel, IN 46033-7731
(317) 574-9595
tRYOUT FROM: Hi Robert.! FAVORITES
------------�--------------------------- GREYHOUND PASS STE 7
Name: Robert Hensley
Address: Carryout Customer
Carmel IN 46032
Order #: 0038 Web /Carryout
------------------- -----------------
4/23/201 03:14 PM
------------- ---------- -------------
Card Type: Vis
,.:.
Account #: xxxx, NOT, FRESH PIZZA
Authorization #: 023776
Reference #: 24347421;E SOON,
Batch ID: 476
Subtotal: 140.00 Iil has Veen sent to rhensley@indy.rr.com.
Tax: 12.60
Total: -__--__--152.60 l
Visa: 152.60 QUALITYR
Tip:
Total: _ e your pizza or we'll give you
Additional Tender Amt: 0.00 other one absolutely free!
----------------------------------------
Gustamer Signature
h now.
-----------------------------------------
Customer Copy
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I agree to pay total amount according to
the card issuer agreement.
Thank You For Choosing
Papa Johns
************************************* ** ,RMEL, 1N 46033-7731 (317)574-9595
****************************************
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0 Large Original Crust The Works Pizza $17.50
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V Details Qty: 1
Large Original Crust The Works Pizza $17.50
S Details Qty: 1
Large Original Crust The Works Pizza $17.50
V Details Qty: 1
Large Original Crust The Works Pizza $17.50
9
V Details Qty: 1
Large Original Crust All The Meats Pizza $17.50
- Details Qty: 1
LIv-
Large Original Crust All The Meats Pizza $17.50
-� V Details Qty: 1
Large Original Crust All The Meats Pizza $17.50
V Details
Qty: 1
Large Original Crust All The Meats Pizza $17.50
V Details Qty: 1
Payment Method: Credit Card
Subtotal: $140.00
Discounts: $0.00
Tax: $12.60
Tip: $0.00
Total charged:
$152.60
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Store #192 2001 E GREYHOUND PASS STE 7 CARMEL, IN 46033-7731
Robert Hensley rhensley@indy.rr.com (317)
417-5038
If
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