319276 12/05/17 CITY OF CARMEL, INDIANA VENDOR: 365130_
.;; 4 i'• ONE CIVIC SQUARE MARK CROMLICH
CHECK AMOUNT: $*******121.76
CARMEL, INDIANA 46032 12685 LANTERN RD CHECK NUMBER: 319276
9M FISHERS IN 46038 CHECK DATE: 12/05/17
F�!rUN A
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 121.76 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 365130 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MARK CROMLICH IN SUM OF$ CITY OF CARMEL
12685 LANTERN RD 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.
FISHERS, IN 46038
Payee
$121.76
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
0 50-239.90 $63.08 1 hereby certify that the attached invoice(s),or 11/30/17 0 Bubs $63.08
1120 851 1120 851
0 50-239.90 $35.70 bill(s)is(are)true and correct and that the 11/30/17 0 Some Guys Pizza $35.70
1120 1 1 851 1 materials or services itemized thereon for 1120 851
0 42-370.00 $7.99 11/30/17 0 CVS-Batteries $7.99
1120 101 which charge is made were ordered and 1120 101
0 42-370.00 $14.99 received except 11/30/17 0 Meijer-Stopwatch $14.99
1120 101 1120 101
Thursday, November 30,2017
S
D'_�D -
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
Page 2 of 3
Platinum MasterCard Account Ending in 4619.
Oct. 16, 2017-Nov. 15, 2017 1 31 days in Billing Cycle
Transactions • - •
Date Description Amount
Oct 28
---.._............_
Nov 2 4111111 Now
Nov� 1,M,EIJERsINC#130 QOICARMEL`IN „- $16042
.Nov 2
_ .
Nov 2loom
ova =CELS/PH_ ARMACY#066051NDIANAFOLISIN $8 �
Nov 4
No
Nov 4
Nov 4
Nov 4
Nov 7
Nov 7
Nov
'No y:9iLf�SOMEiGUYS4PIZZA'P'ZA�C�A'RMEL IN
Nov 11
Novll TST*46UB S BURGERS ANDCARMELIN 8-'
Nov 1
Nov 1
Nov 12
Nov 1
MARK A CROMLICH#4619:Total
Total Transactions for This Period
77- �.
fees
Date Description Amount
Total Fees for This Period $0.00
Interest Charge on Purchases $0.00
Interest Charge on Cash Advances $0.00
-- -_____............- —_ _ --.— .............-.__... ..._-.............._...
Interest Charge on Other Balances $0.00
Total Interest for This Period $0.00
Transactions continue on the back of this page
1424 West Carmel Dr.
Carmel,IN 46032-#130
(317)573-8300 meijer.com
hr, Meijer Team. appreciates your business
. ' 11/02/17
-' our-checkout was provided by Fastlane106
GENERAL MERCHANDISE
,650631058 , STOPWATCH 14.99 CT
T OT.AIL
IN 7% Sales Tax 1.05
TOTAL.,TAX, 1.05
TOTAL 16.04.
('AYMENTS
CREDIT.CARDS TENDER 16.04
:. !XXXXXXXXXX4619 (C)
. AfIROVAL CODE 04096B
�,Af,.JAL ONE
0000000041010
;i9D788E16FD6B85
NUMBER OF ITEMS 1.
for .J(litional savings and rewards visit
` mperks:coll.
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;)s:;/jobs.meijer.Com,
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A0130011PZV9GPIS
:12a Up:55i Tm:iii6`Stc130 15:01:37
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1 -
1
pharN'li ii �l1C.�s
9550 AL•LISONVILLE Rd
(NOIANAPOLIS, IN 462 i0
317.842.4458
3 I'RI4#7843 CSHR#-0-6206,D5-'.)t Z46605
' )y: ROLANDO
E,'traC;ria Card
OUR-C i-YFI PK----EACH 7.991'
SULITOTAL 7.99
IN 7.0% TAX .56
IMAL 8.55
CHriRGE 8.55
IP110L Qhb_
°RUVECn e4=syli
T)rL nLE
w 1u000u4 i 010
SIG;-rTURE REQUIRED -- — -
-CVM: 1[C300
TVR(95:.; 0000008000
TSI(9B:: 1:800
CHANGE •00
. • III'IlJlll l�llll 111�lll 1;111 111��ll l�l'Il
��2504 6057 3077 8430 3O
RETURN'; WITH RECEIRT THRU 01 02/2018
NOVEMBER, 3, 2017
THANK YOU. SHOP 24 HOURS AT C!:>..CUM • J
zfraCai•e Card balances as a1' 0:)/C'/
ear to D.3te Savings
MMUIMMMMMVII
Use Ljour Flexible Spending•
dollrrs before your balan`
back lo $0• Look for exJ f
offer ; on FSA,-e1 4,3-ijble pri
th weA ly ad to .save mo;E.
;hop cvs.com/FSO
SOME GUYS PIZZA PASTA GRILL
12552 N GRAT H
CARMEL- IN 46033
317-706-8858 r. -
Terminal TD: _F****689
11/15/:17 2:00 PM
SERVER'.a: 97, 1,
MASTERCARD"- IW1PF
ACCT U? _ —,,,r,,.•
CREDIT SALE
UID: 731922728347 RE
BATCH it: 158 AUTH :r. ,i E i 2B
AMOUNT $18..3Al `
TIP\' ------
TOTAL
�' CUSIOMER Cof'Y
_ Bub's Burgers and Ice Cream
210 W, Main Street
Carmel, IN 46032
Server: Owen G 11/10/17 12:42 PM
Check #34 Table 12
Elk Notso
5m-Waff les,— $3.30
2 Elk Settle $16.50
Settle for Less $7.25
Bleu Cheese $1.00
Jalapenos 1$1.00
2 Sm Waffles. $3.30
.-On Side Cheese $1.00
Subtotal $48.70
Tax $4,38
fotal $53.08
i •
Bub's Burgers and Ice Cream
210 W. Main Street
Carmel, IN 46032
Server: Owen G — —1111 V1-7-1-2-:42—PI-4
Check #34 Table 12
Credit Card Swiped
Mastercard xxxxxxxx4619
Time 1:15 PN
Authorization Approved
Approval Code 055330
Check ID
Payment ID Yrys7kxmdKi ,
Amount:
+ Tip: CJS �v
=
Total:
X— ------------
M CROMI_ICH
Customer Copy
I