HomeMy WebLinkAbout304289 10/20/16 .GAA
i°.. � CITY OF CARMEL, INDIANA VENDOR: 356917
it ONE CIVIC SQUARE MELANIE LENTZ CHECK AMOUNT: $****«***57.90'
s. ;�� CARMEL, INDIANA 46032 7817 CASTLE LANE CHECK NUMBER: 304289
+,;,��oN�°'� INDPLS IN 46256 CHECK DATE: 10/20/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 101916 57.90 FESTIVAL COMMUNITY EV
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
MELANIE LENTZ ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
7817 CASTLE LANE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDPLS, IN 46256 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$57.90 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 43-590.03 $29.97 1 hereby certify that the attached invoice(s),or 10/13/16 RECEIPT $29.97
1203 101 1203 101
RECEIPT 43-590.03 $P7.98 bill(s)is(are)true and correct and that the 10/13/16 RECEIPT $27.93
1203 1 1 101 1 materials or services itemized thereon for 1203 1 101
which charge is made were ordered and
received except
Wednesday,October 19,2016
hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
EMPLOYEE REIMBURSEMENT
1 {� Sales tax is not reimbursable
NAME: 1V1`Ql (r11 Q L�� }Z
ADDRESS: 1 CV(S (,c.n
TOTAL$AMOUNT OF RECEIPT(S)ON THIS PAGE:$ o5-). 40
PURPOSE OF EXPENSE: lR V1 hn IGl (�I/t Ze
Use separate sheet for different purposes or a ents, as account coding may vary Ow\k CQIx b
AFFIX ORIGINAL RECEIPT(S) BELOW OR ATTACH,IF RECEIPT IS FULL PAGE
I
-------
1:317)511 0
'102 ICE IIT. 2°IPI;
402 ICE MT 2ejpj( 3.95 1-
1102 ICE NT 2' 3.99 r
IF'I(
402 TCE III 2'IF-I( 3.9^ F ,
'102 ICE III 2,1P 3.9;' I- 411 Great food.
402 1:CE III T 24F'K 3.99 r Low
27.93
402 ICE 197 2gPl.,, 3.99 I- i prices.
ri1
'IZESH I1)EP rIJSTJP1E'I?
'10004916?7'9 1217 S. RANGELINE RD.
')0 13 fI t• �, 317-846-4818
27• - Your Cashier was ASHLEY
•IARSH Sur ERrlrihKl r ,1r.1 q __. BALLOONS MSC 9 99 T
1140 E. 1 1 E rl l ;FF;Er:r BALLOONS MSC 9.99 T
;RRMFI_, IN KROGER PLUSOCUSTOMER �����9.99 T
r.)32
TAX
317 1! 7 E,-•3 E 5,;
:FT * BALANCE 2.10
IS cRA:prr I'LII;r1{f,c;fc: 10/13,116 12:2£1 P1�1 CARMEL IN 46032 32.07
1ISR cArt:p a ;,:x� tl :n;c73f3!; Visa Credit Purchase
IUTH 971:194
REF#: 007914 TOTAL: 32.07
klym('Iff rlrlol.n,rr AID: AOOODO00031016
27.03 TC: 9F318753ED4317C5
�1= CREll I
C:HRNFIE 2-17
I l),. VISA
32,07
I10TAL NUMBED; 41= ]:TI::'la c;OL.,O 7 I �RANGE 0.00
TOTAL NUMBER OF ITEMS SOLD
c)ti .o106 113 10/13/1 m,.6 01:jS 959 55 10 615 3
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