319194 11/30/17 o"!" CITY OF CARMEL, INDIANA VENDOR: 369942,,
ONE CIVIC SQUARE LARA;MULPAGANO CHECKAMOUNT: $*******366.61
CARMEL, INDIANA 46032 4989 BUCKEYE CT CHECK NUMBER: 319194
CARMEL IN 46033 CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT PO NUMBER._ INVOICE NUMBER_ AMOUNT DESCRIPTION
1120 4230200 50.56 OFFICE SUPPLIES
1120 4239099 179.99 OTHER MISCELLANOUS
1120 4355100 24.99 PROMOTIONAL FUNDS
851 5023990 111.07 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 369942
LARA MULPAGANO IN SUM OF$ CITY OF CARMEL
4989 BUCKEYE CT An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46033
Payee
$366.61
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
Kroger 50-239.90 $11.57 1 hereby certify that the attached invoice(s),or 11/22/17 Kroger $11.57
1120 851 1120 851
Pizzology 50-239.90 $99.50 bill(s)is(are)true and correct and that the 11/22/17 Pizzology $99.50
1120 1 851 1 materials or services itemized thereon for 1120 851
Office Depot/Max 43-551.00 $24.99 11/22/17 Office Depot/Max $24.99
1120 101 which charge is made were ordered and 1120 101
Best Buy 42-390.99 $179.99 received except 11/22/17 Best Buy $179.99
1120 101 1120 101
Office Depot/Max 42-302.00 $50.56 11/22/17 Office Depot/Max $50.56
1120 101 1120 101
Tuesday, November 28,2017
Va - A
David Haboush
Fire Chief
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Pizzology Craft Pizza + Pub
Date: 11/20/17, 4:15 PM
Card Type: VISA
Acct #: XXXXXXXXXXXX0314
Customer: LARA MULPAGANO
Card Entry: SWIPED
Auth Code: 525462
Check: 7537
To Go: Lara
Server: Morgan C
Amount: 108 46
+TIP
=TOTAL
Suggested Tips_
18% = 17.91
20% = 19.90
25% = 24.88
I agree to pay the above total amount pursuant
to the card issuer agreement.
X
Join us for specials!
Mondays: 1/2 price bottles of wine!
Wednesdays: $5 Craft Drafts!
Fridays: Chef's Food Specials!
Customer Copy
Welcome to Best Buy 4990
14610 N MERIDIAN ST
CARMEL, IN 46032
(�3117�) 846-1150
Loca I r b�� i Gno
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Val #:000149-001571-238671-105846-444365-81
0490 042 6797 11/19/1.7.,15;18
TAX EXEMPT
, i
5901530 MQD22LL/A 179.99
APPLE TV 4K 32GB
Serd al # SC07V8UKRJIWF
Sales Tax 0.00
6135600 14 DAY FREE 0.00
FREE SLINGTV 14 DAYS
Sales Tax 0.00
Subtotal 179.99
Sales Tax 0.00
==
Total= 179 99
TEC Cert.Key: 964621
**********0314 ChipRead USD$ 179.99
US DEBIT - DEBIT
MULPAGANO/LARA
Approval 782599
Verified By PIN
MODE: Issuer
AID: A0000000980840
Reference Number: 42215175283145
LarU V 11u, 40fto
Office DEPOT
Of iceeMax
CARMEL - (317) 818-2696
11/19/2017 2:59 PM
II II III II VIII II II IIII III II IIII
2PTT3QPPXY3XYRW6W
-r)vc,�5
;ALE 6545-3-1761-455844-17.8C772'�y
;42598 EASEL,INST,FUL 25.99 S
'44377 KCUP,DS, ORIGN 24.99 E
309955 TAPE,DBL SD,2/ 5.00S
Instant Savings -1 .00
You Pay 4.00S
112623 BADGE,NAME,RED 5.99 S
'53064 WHITE, FOAM, B --
2 @ 7.29 14.58
You Pay 14.585
Subtotal: 75.55
IN State Tax 7% 0.00
Total: 75.55
Debit Card 0314: 75.55
'DS Chip Read
3ID A0000000980840 US DEBIT
'VR 8000048000
;VS PIN Verified
LARA MULPAGANO 1994685459
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ax Exemption Number 000301328885
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j�t�a�u ►�
Fresh food.
I ow pric,os.
CXkmct (— Focus &r-
1217 S. RANGELINE RD. S n.aC't-5
317-846-4818
Your cashier was CHEC 505
CAKE BITES 2.99 F
KROGER PLUS CUSTOMER *#**###9986
2 @ 4.29
BFG MUFFINS 8.58 F
TAX 0.00
#### BALANCE 11.57
US DEBIT Purchase
###*#####*##0314 - C
REF#: 000000 TOTAL: 11.57
PURCHASE: 11.57 CASHBACK: 0.00
AID: A0000000980840
TC: C3C813785E5BAE6B
VERIFIED BY PIN
DEBIT 11.57
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD = 3
11/20/17 07:04am 959 505 10 999999505
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for
Pizzology Craft Pizza + Pub
heck #: 75374, 11/20/17
Server: Morgan C 1:58 PM
TO GO: Lara
Customer Name: Lara
------------------------------------------------
2 Lg Margherita (@13.00/ea) 26.00
2 Lg Porcellino (@15.00/ea) 30.00
1 Lg Lombardy 16.00
1 Lg Napoli 13.00
1 L8 Homemade Sausage 14.50
------------------------------------------------
Sub-total99 L
Sales Tax 9.96
TOTAL 108.46
---------------=--------------------------------
Balance Due 108.46
Suggested Tios:
18% = 17.91
20% = 19.90
25% = 24.86
Join us for specials!
Mondays: 1/2 price bottles of wine!
Wednesdays: $5 Craft Drafts!
Fridays: Chef's Food Specials!