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Home My WebLink About303250 09/22/16 CITY OF CARMEL, INDIANA VENDOR: 368968 CHECK AMOUNT: $•«««««««89 95` ONE CIVIC SQUARE KELLI PRADER CARMEL, INDIANA 46032 3920 VERDURE LANE CHECK NUMBER: 303250 9.y�ioN�o` ZIONSVILLE IN 46077 CHECK DATE: 09/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359000 091316 50.00 SPECIAL PROJECTS 854 367009 091416 39.95 CARMEL ON CANVAS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) KELLI PRADER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 3920 VERDURE LANE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service ZIONSVI LLE, IN 46077 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $39.95 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 RECEIPT 3-670.09 $39.95 1 hereby certify that the attached invoice(s),or 9/14/16 RECEIPT $39.95 12032:9 854 1203 854 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, September 20,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer t ��NK � ��'�� N�� yc"�� NOBODY HAS MORE PARTY FOR LESS 14299 CLAY TERRACE BLVD, #100 CARMEL, IN 46032 317-815-3846 TAX EXEMPT Customer Name: Store 673 Phone: (317) 571-2971 h-k 018419197271 29X168IN FRS $39.95 29x168IN FRSTWHT T8LSKRT PLSTC c�� |��' \5 @ $Y.39 � / �/y/ �/°^`) SUBTOTAL $39.95 � TOTAL $39.95 CR AMEX $39.95 ITEMS ` 5 CR AMEX SALE $39.95 �= ' XKXXXXXXXXX2019 CHIP APPR: 823080 JOURNAL: 0673117386627986 HID: H000000026010801 Application Label: AMERICAN EXPRESS Card Expiry Dote: 08/20 Cryptogram Type: TC Cryptogram: 96076FAAD7E4B3C9 CUSTOMER COPY ~~~=~~=~~~~~~~~~~~~~~~~~~~~~~^~~~~^^=~^~ STORE 673 TRN 21 REG 4 ' O9-14-2016 10'67:17 HH � �� h �� 1 �� v � v v ��m �w� � / �m RETURNS MUST BE MADE WITHIN 30 DAYS OF PURCHASE RECEIPT MUST ACCOMPANY EACH RETURN ONLY UNOPENED PACKAGES MAY BERETURNED SEASONAL, ITEMS MAY BE RETURNED UP TO 7 DAYS PRIOR TU HOLIDAY MF�V<mpo\5[ c 1�8Y P.FRFFnoPlF ' VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) KELLI PRADER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 3920 VERDURE LANE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service ZIONSVI LLE, IN 46077 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $50.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 RECEIPT 43-590.00 $50.00 1 hereby certify that the attached invoice(s),or 9/13/16 RECEIPT $50.00 1203 � 101 1203 101 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,September 20,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer DONATELLOS 9 W MAIN ST CARMEL, IN 46032 3175644790 ORDER: gift MATT THE MILLERS TAVERN g 11 W. City Center Drive Cashier: Garrett 317-805-1860 13-Sep-2016 4:17:53P Transaction 000526 ! Server: HOST - DOB: 09/13/2016 04:29 PM 09/13/2016 Total $50.00 Table 5/1 3/30015 CREDIT CARD AUTH $50.00 SALE AMEX 2019 Tip AMEX 3145738 -- Card #XXXXXXXXXXX2019 Total Magnetic card present: PRADER KELLI R Card Entry Method: S Retain this copy for statement validation Approval: 586952 13-Sep-2016 4:19:30P Amount: $ 50.00 .. $50.001 Method: EMV AMERICAN EXPRESS XXXXXXXXXXXX2019 + Tip: Ref#: 625700504051 1 Auth #:829320 MID:277251788992 ir IV AID:A000000025010801 = Total AthNtwkNrn:AMEX SIGNATURE VERIFIED I agree to pay the above Order V37P7Tl3YMZBET total amount according to the WWW. DONATELLOSITALIAN.COM card issuer agreement. 317-564-4790 X III IIIIIIIII We would appreciate your IIIIIIIIIIIIII comments and feedback b - - 49KPR(;A4M(;F77 y visiting our website at www.mtmtavern.com Thank you for dining with us and we hope to see you soon n f GUEST COPY PIMIZ ��a ve��' J'14