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317457 10/16/2017 CITY OF CARMEL, INDIANA VENDOR: 354402 ....... DAVID HABOUSH CHECK AMOUNT: $ 25.16' ONE CIVIC SQUARE 1942 TROWBRIDGE HIGH STREET CHECK NUMBER: 317457 r? CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK DATE: 10/16/17 �M�IpN gip. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNTDESCRIPTION 851 5023990 25.16 OTHER EXPENSES n c ? o $ 0 § § § k 2 t < f O g o _ a O n $ > m I % 2 / U Aco = t 2 E z z 2 « o O CL o 0 � 2 � a Rm ( m � q # I 0 . 3 $ a £ C) -n CD k / / 2 § k \X q ƒ 3 § # _ 7 a & ® z 2 0 } > - O | / \ § _ ¥ J _ a i § 9 # a k $ § k { k » ƒ F J \ k a ; ° / § Q f f m oCL f E f 3 Z) m \ I o g _ E 7 \ i 0 % 3 § = 7 § { 0 % @ _ ° L CA / ƒ I \ S, co � s t / e w k = k B « f3 | / kIm CCL S ii \ T CD j � \ kk ~ : 9 D Cl) FY )\ ( ; } CD 0 c < � 0 [§ @ §_ § D \ d ( D f / / k«CL § \ } 07 3| o\\< \ eo 2 G 9» - E ) \\ ) q @ « > 66 2 § / - k § O H \ G n k ) g § 7 , m O C % / \ c (n / / G § 2CD p 2. §\ Iz 0OL m X \ � § 2 0 CDCD N \ ] 2 � 2 } _ = 9 / CYI k CD & w Delivery PAID Domin2532Pizza (317) 846-6100 Reward:: Code: rdVfTN9M 4,00 PM li�!11/2u17Server 4335 Order282332 -- �� TIMED * TIMED Domino's Pizza #25 Thank 'You 1fOr rhoosing 31 _ FIRE DEPT (317)E571-2044 _ - -Order- --------*---'"- 2 LaP e Han niTossed Pt $25.98 Bacon 1 Large Hand-Tossed Pi X12.99 Pepperoni Mushrooms - 16.80 Poli(;, Fire, Military $ 1 DeiverY Charge $2.99 ---------- $25.16 Sub Total $0.00 Tax ----------- Total $25.16 ---------— Payments--._--_---_-- Amount Tendered $25.16 $0.00 Balance Due Joinsoprogram atfdomenosecam t Reward 1 ------------- ------------ THIS -- _----------THIS ORDER CAN STILL EARN POINTS TOWARD FREE PIZZA! VISIT DOMINOS.COM/CLAIMREWARDS ' WITHIN 30 OAYS TO CLAIM YOUR POINTS. Domino`sPizzza CARMEL Store 2532 Phone # t 317) 846-61--------- --------