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312787 06/16/17
CITY OF CARMEL, INDIANA VENDOR: 357338 ONE CIVIC SQUARE CHRISTOPHER ELLISON CHECK AMOUNT: $*****2,633.67* _? ?� CARMEL, INDIANA 46032 8772 RANDALL DRIVE CHECK NUMBER: 312787 �Mirow�. FISHERS IN 46038 CHECK DATE: 06/16/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 851 5023990 2,633.67 OTHER EXPENSES 2 00 n < < / m Q « \ I O 0 0 I Pi X CL c \ § § © m ;o 2 q n >5i 0 ® # 2 > $ 0 E c f m / 2 / o o � / Q % 0ODE . � _ U q / ¢ $ U) > a O k CD ¢ CA � m - / 2 w 2 w / 0 CD ? fio§ §* : CL 2 z 2 . > O Q � CD \ § | 7 _ ¥ 6 _ 2 9 2 e � & ƒ / / ) k k » m ¥ m » ? g k o D _ 0 k CD k ® 3 :5. f 2 \ § k 0. C- + - E 7 k } § / / K 2 o f k & k k ƒ EF } / w C / fu- k § § £ & § / . - e @o a t J K i & , m m & E§ E N ] ® ` U� w a _ m f k /$ 0 k D \ ) / # ; \ � � $ 2 0 » G g 00 � _ C) z g O k OCD ° m � m ƒ \ C a 2 / 4 } § k k § k i | U_00 eo \ w � � � D §0o m � 6� } § ƒ - 0PD 2 n \ j E _ \ = r- 0 E f Z C d E ` C \ ( / 7 2 cn / C _ 0 \ CD ) \ E G / f \ ] § k � ° CL _ f > \ / § CD § » - a 0 . =r \ \ z ° \ 31come to Chick-fil-A lestfield FSU (#01939) Carmel, IN 317-815-9465 Operator. Patrick Tate CUSTOMER COPY 6/15/2017 10:57:39 AM PICKUP Order Number: 4492901 Guest: Brandon - Fire Fighters Camp Tax Acct: CARMEL FIRE FIGHTERS Promised Time: 6/16/2017 11:00 AM 230Pkgd Meal 1 ,403.00 CFA Sand - Pickles Chips Cookie 1 Ct 46-90 10 GRL Sand (147.84) 1 Open Percent 12,50 10 Cookie 1 Ct 16.00 10 Chips $1,330.56 Sub. Total: $0.00 Tax: $1,330.56 Total: ($147,84) Discount Total : $1,330.56 Balance Due Register:3 Tran Seq No: 4492901 Cashier:Kim it was a ww,facebookacom/cfawestfieldl w g 9 Welcome to Chick-fil-A Westfield FSU 001939) Carmel, IN ? 317-815-9465 Operator: Patrick Tate CUSTOMER COPY 6/15/2017 10:57:17 AM PICKUP Order Number: 4492872 Guest: Brandon - Fire Fighter Camp Tax Acct: CARMEL FIREFGHTERS Promised Time: 6/15/2017 11:00 AM x 1225Pkgd Meal 1,372.50 CFA Sand Pickles Chips Cookie 1 Ct 10 GRL Sand 46.90 1 Open Percent (144.79) 10 Cookie 1 Ct 12.50 10 Chips 16.00 Sub. Total : $1,303.11 Tax: $0.00 Total : $1,303.11 Discount Total: ($144.79) Change $0.00 MasterCard: $1,303.11 Register:3 Tran Seq No: 4492872 Cashier:Kim It was a pleasure serving you! www.facebook.com/cfawestfield MasterCard Card Num : O XXXXXXXXXXXX0490 Terminal KA13575988003 Approval 06295Z Sequence : 049905 y I agree to pay the above Total Amount according to Card Issuer Agreement. Signature: