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HomeMy WebLinkAbout258836 05/26/16 �%'F�p''F� CITY OF CARMEL, INDIANA VENDOR: 357005 `� '� CHECK AMOUNT: $"""r"""178.99" .�s �• ONE CIVIC SQUARE DAVID LITTLEJOHN s CARMEL, INDIANA 46032 4840 N.GUILFORD AVENUE CHECK NUMBER: 258836 9M,•-.-....,o r. INDIANAPOLIS IN 46205 CHECK DATE: 05/26/16 �JON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 367003 051816 178.99 BIKE TO WORK DAY VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) DAVID LITTLEJOHN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 4840 N. GUILFORD AVENUE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46205 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $178.99 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Community Relations Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT RE ffxT 3-670.03 $195.87 1 hereby certify that the attached invoice(s),or 5/18/16 RECEIPT $195.87 854 51 Sl t 854 854 854 R€IQEIET 3-670.03 ($16.88) bill(s)is(are)true and correct and that the 5/18/16 RECEIPT ($16.88) 854 854 materials or services itemized thereon for 854 1 854 which charge is made were ordered and received except Tuesday, May 24,2016 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer d1ti,ex ukw)&', k I-I B. q, q • A ork evex,v Einstein Bros Bagels Store # 2280 2350 East 116th St Einstein Bros; Bagels 317-848-9888 Store # 2:28O 2350 East 116th St ToGo319c l 317-848-9888 t: 05/18/2' ToGo4.00 j399 3:26 105/18/' (?. . '�r Type: TOGO :a4OO' 3:2- & Go Bakers Doz Box: (6 @15.49 K.. r Type: Refund pr's Dozen Bagels (2 (W.49) & Go Bakers Doz Box. -1� .a Coffee Joe ToGo (2 @15.99) 31 RoastCoffee Joe ToGo (2 @15.9 31 . x- -. . �tal -1_�F f Coffee Joe ToGo 1`.) -1 Atal 195 - Fuind Total — 1 6 . E, e=xempt #0031201550 id:V.ISA, #XXXXXXXXXXXX14.69 -16 ,a0 Total �`unde #XXXXXXXXXXXX1469 19`.: :h:06801 C ',TUR1= �'sTURE 1-und : Cash O . 0 Dreading Monday already? i Mondays at Einstein Bros Bagels! Dreading Monday already? 13 bagels for-'$6 - Mondays ONLY ;6 Mondays at Einstein Bros Bagels! in-Mo�a'y your Monday this Monday. 13 bagels for $6 - Mondays ONLY J / Un-Monday your Monday this Monday. / - Check Closed --- --- Check Closed --- %