HomeMy WebLinkAbout332934 12/06/18 {o.CAgM
ay: ,� CITY OF CARMEL, INDIANA VENDOR: 365130 .
ONE CIVIC SQUARE MARK CROMLICH CHECK AMOUNT: $••"••"*57.50•
/a'; CARMEL, INDIANA 46032 12685 LANTERN RD CHECK NUMBER: 332934
M��TO'N G�` FISHERS IN 46038 CHECK DATE: 12/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 57.50 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 365130 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MARK CROMLICH IN SUM of$ 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
$57.50
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 $57.50 1 hereby certify that the attached invoice(s),or 12/3/18 0 Meal Reimbursement $57.50
1120 851 1120 851
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 3,2018
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk=Treasurer
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Carmel, IN 46032 AOGgO
Server: Owen G 09/14/18 11:44 AM
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Credit Card
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Time 12:2,-
Transaction Type 31 '
Authorization Appi_.)v....
Approval Code 053808 5
(.: Payment ID LmNJpsrgsCfF
f Card Reader MAGTEK_DV_NAMAG t;
Amount $57.50
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+ Tip: -
= Total:
X_--------------___...-_
MARK CROMLICH
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Customer Copy