HomeMy WebLinkAbout304112 10/10/16 s.4�?
�4%� f� CITY OF CARMEL, INDIANA VENDOR: 368968
`Si CHECK AMOUNT: $********50.00*
•;s d, ��• ONE CIVIC SQUARE KELLI PRADER
d. _� CARMEL, INDIANA 46032 3920 VERDURE LANE CHECK NUMBER: 304112
r,�, !:'� ZIONSVILLE IN 46077 CHECK DATE: 10/10/16
«ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359000 100416 50.00 SPECIAL PROJECTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
KELLI PRADER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
3920 VERDURE LANE IN SUM OF$ 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
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
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
Wednesday, October 05,2016
n
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
DONATELLOS
9WMAIN ST
CARMEL, IN 46032
3175644790
ORDERift MATT THE MILLERS TAVERN
g
Cashier: Garrett 11 W. City Center Drive 13-Sep-2016 4:17:63P 317-805-1860
Transaction 000526 Serve • HOST DOB: 09/13 2016
04:29 09/1 /2016
Total $50.00 Table 5 /30015
CREDIT CARD AUTH 0 SALE
AMEX 2019
Tip AMEX 3145738
Card #XXXXXXX XXX2019
Total Magnetic card resent: PRADER K LI R
Card Entry Meth d: S
Retain this copy for statement validation
Approval: 586952
13-Sep-2016 4:19:30P mount: $ 50.00
$50.001 Method: EMV
AMERICAN EXPRESS XXXXXXXXXXXX2019 Tip:
Ref#: 625700504051 1 Auth#:829320
MID:277251788992 = To 1 5vfw
AID:A000000026010801
AthNtwkNm:AMEX
SIGNATURE VERIFIED I agree to pay he above
Qi J
Order V37P7TBYPAZBET total amount accor ing to the
card issuer a reeme
WWW. DONATELLOSITALIAN.COM
317-564-4790 X �
III IIIIIIIIIIIIII�II We would ap reciate your �at�
Ilillllllllllllllll
I�IIIIIIII comments an feedback by `4
47KPR(;A4M(;F77 visiting oar website at
www.mt avern.com
Thank you f r dining with us
and we hop to see you soon
UEST COPY
zw/
l�
l JJ � CGI441 r
li)bP