HomeMy WebLinkAbout305733 12/02/16 ♦u+..EAN,y
CITY OF CARMEL, INDIANA VENDOR: 368968
ONE CIVIC SQUARE KELLI PRADER CHECK AMOUNT: $""""101.00'
® ?� CARMEL, INDIANA 46032 3920 VERDURE LANE CHECK NUMBER: 305733
ZIONSVILLE IN 46077 CHECK DATE: 12/02/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359000 101.00 SPECIAL PROJECTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
KELLI PRADER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
3920 VERDURE LANE IN SUM OF$ 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.
$101.00 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 $101.00 I hereby certify that the attached invoice(s),or 11/22/16 RECEIPT $101.00
1203 101 1203 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, November 30,2016
Nancy Heck
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
EMPLOYEE REIMBURSEMENT
Sales tax is not reimbursable
NAME: I I �v'' rile
ADDRESS: W- M V I L
TOTAL$AMOUNT OF REC IPT(S ON THIS PAGE:$
PURPOSE OF EXPENSE: - DP vq- x
Use separate sheet or d'ffer nt purp ses or a is s account codi m y var
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7�RFI ORIGINAL RECEIPT(3 BELOW DR ATTACH,IF RECEIPT IS FULL PAGE
* MACKENZIE RIVER PIZZA
11596 Westfield Blvd.
Server: Morgan DOB: 11/22/2016
01:08 PM 11/22/2016
10/1 4/40005
SALE
AMEX 2097154
Card #XXXXXXXXXXX2019
Magnetic card present: PRADER KELLI R
Card Entry Method: S
Approval: 513850
Amount: $ 85.5
+ Ti
= Total: l ��
I agree to pay the above
total amount according to the
c is r agr nt.
X
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*** CC COPY ***