327961 07/25/18 CITY OF CARMEL, INDIANA VENDOR: 355466
® ONE CIVIC SQUARE KEITH FREER CHECK AMOUNT: $*******209.31
CARMEL, INDIANA 46032 1413 N.FAIRVIEW STREET CHECK NUMBER: 327961
MtioN'�°' ALEXANDRIA IN 46001 CHECK DATE: 07/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 REIMB 209.31 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 355466 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
KEITH FREER IN SUM OF;$ CITY OF CARMEL
1413 N. FAI RVI EW STREET 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.
ALEXANDRIA, IN 46001
Payee
$209.31
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 $57.42 1 hereby certify that the attached invoice(s),or 7/23/18 0 FF for a Day Volunteers $57.42
1120 851 1120 851
0 50-239.90 $151.89 bill(s)is(are)true and correct and that the 7/23/18 0 Senior Citizens Day $151.89
1120 1 1 851 1 materials or services itemized thereon for 1120 851
which charge is made were ordered and
received except
Monday,July 23,2018
David Haboush
Fire Chief
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
Gofdoty
FOOD SERVICE STORE
Fishers
9540 Masters Rd
Indianapolis, IN 46250
(317) 845-0712
www.sfssfore.com
Carmel Fire Dept
2563697
i
Cashier: TUM
2 @ 23.98
Beef Franks 8/lb 2 47.96
4173500
Resular Lays Pack 13.99
4093700
F Shred Cheddar Ch 12.49
1910431
Mrs.Vicki Kttl Chi 13.99
2267521
2 @ 7.99
Condiments Asst Pi 15.98
5352611
Snack Variety Pack 12.49
4168001
Hot Dos Sauce W/Me 9.99
1030631
10 @ 2.50
1-16CT HOT DOG BUN 25.00
6058910
TAX 0.00
* *# BALANCE 151 .89
Card: ************6579 - C
Approval Code: 090960 S5
Purchase
CHASE VISA
CHASE VISA
AID: AOO00000031010
AC: B191C7OD71FF4450
TVR: 0000008000
TID: 3
VISA 151 .89
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD = 19
07/18/18 09:13am 1905 3 1 49381
Qualifying GO! Points earned: 452
I .
Jun 25,2018
SOME GUYS PIZZA PASTA GRI $57.42
I This transaction posted on Jun 26,2018
Additional merchant and transaction information
CARMEL,IN 460330000 US
In-person transaction
Rewards earned with this transaction
+Points earned on purchases 57.42
Total Points 57.42
Jul 18,2018
GFS STORE III905 $151.89
I
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