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HomeMy WebLinkAbout334320 01/10/19 CITY OF CARMEL, INDIANA VENDOR: 372099 ® ONE CIVIC SQUARE HENRY MESTETSKY CHECK AMOUNT: $********68.22* 9 ?� CARMEL, INDIANA 46032 3035 CHECK NUMBER: 334320 MAQUA COURT CHECK DATE: 01/10/19 CARMEL IN 46033 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 855 5023990 REIMB 68.22 OTHER EXPENSES .VOUCHER NO... ' :'' WARRANT NG. . Prescribed by State Board of Accounts City Form No.201(Rev..1995) ' ALLOWED 20 ACCOUNTS .PAYABLE VOUCHER' Vendor.#. 372099 IIVsuWIOF$ CITY OF.CARMEL -HENRY.MESTETSKY. 3035 : An invoice or bill to be'propedy itemized.must show:kind of service,when;performed,dates service MAQUA:COURT rendered;.by whom,rates per day,number.of•hours,rate per hour,:number of.units;.pdce per.unit,etc,: CARMEL; IN 46033: .. . Payee ZZ .Purchase Order# ..:ON ACCOUNT OF-APPROPRIATION FOR '. Terms Redevelopment Department . Date Due - PO#. . ACCT# DATE; INVOICE# DESCRIPTION: DEPT# INVOICE# Fund.#. . AMOUNT. Board Members : DEPT# . FUND# (or note attached invoice(s)or bill(s)). AMOUNT 20181218, 50239.90 $37.02 l;herebycertify that.the attached invoice(s),of 12/18/18 201812'18 Reimbursement for CRC Lunch $37.02 1801 855. Prior Year. . . 1801 . 855 20190109 50-239.9.0 -,$ -gt�. .'bill( r 1/9/19 20190109 Intro Lunch for new CRC Commissioner s)is(a e)true and'correct and.that the. 1801. 855 materials or services item lied thereon for 1801' 855 which,charge is made_were ordered and received except t . �. Wednesday;.January.09,2019 Mestet sky; H,enry. I hereby certify thatthe attached invoice(s),,orbill(s);is(are)true,and correct and. .1 have . audited,same in accordance with IC 5711-1,071.6 . . .,2.0 Cost distribution ledger classification if clairri.paid motor vehicle highway fund.. a . C erk Tre surer e Y Pad Thai 110 W Main Street STE. 140 * Kitchen fi Carmel, IN 46032 (317) 818-8272 Seruar: Pang Station 4 ----------------------------------- Take Out Date/Time: 2018-12-18 12:25 PM 12/18/2018 11.49:55 AN Order Number: 115222 Account Type: CREDIT Walk n EDC Tran ID: 603088071 I Server: Pong Customer Name: henry POS: 4 -..--------------------------------------. --- ------- PURCHhSE, 9PPRO19I 1 L . 8 Pad Ong Chicken Entry Mode: Swiped Card Number: XXXX8515 Nedlum Card Expire: XX/XX ----------------------------- .......... Card Type: Visa 1 1 Pad Ni HENRY MESTETSKY Approval Code: 05551C Calamari Ref Number: 71849 �37,oz Chicken PURCHASE. Hild - -- - ----- - --- ------------ - - Gratuity, Total; ! 4 Chicken Cardmember acknowledges receipt of Medium goods and/or services in the amount -----------..__.-_-__ of the total shown hereon and agrees Pad Thal to perform the obligations set forth by cardmember's agreement with issuer Chicken u Signature: -- Mild ---------------------------_ - --- S Tickct P 10 0rOor 0: 115222 i Papa Fatt®ush Restaurant (317)564-8782 January 9,2019 www.papafattoush.co 12:14 PM m Receipt: EBb1 Authorization: 06121C i CHASE VISA AID AO 00 00 00 03 10 10 Bread(Sandwich)x 2 $16.90 i ($8.45 ea.) Chicken Salad $10.95 Subtotal $27.85 Card Processing $0.84 Tax $2.51 Total $31.20 Visa 8515(Chip) $31.20