180867 12/30/2009 zo CITY OF CARMEL, INDIANA VENDOR: 363580 Page 1 of 1
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ONE CIVIC SQUARE LA MIE EMILIE
a CARMEL, INDIANA 46032 15 W MAIN STREET CHECK AMOUNT: $109.68
CARMEL IN 46032 CHECK NUMBER: 180867
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 109.68 PROMOTIONAL FUNDS
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La Mie Emilie 41 1 cgf:R Y�655e
15 W. Main DATE: December 1, 2009
Carmel, IN 46032
Phone 317.816.1200 FOR: Cary, NC visit
B i l l To:
Nancy Heck
City of Carmel
1 Civic Square
Carmel, IN 46032
DESCRIPTION Quantity Cost per Qty AMOU
Lunch for 7 people 92.95
18% Gratuity 16.73
Terms: Net 10 TOTAL 109.68
Please remit via check, cash, or credit card. We accept
Visa, American Express, or Discover.
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THANK YOU FOR YOUR BUSINESS!
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Prescribe by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
12/28/09 CITY OF CARMEL
'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.
Payee
La Mie Emilie Purchase Order No.
15 W. Main Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/1/09 Stmt Lunch for Cary, NC city visitors $109.68
Total $109.68
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
1'2/28/03 ALLOWED 20
La Mie Emilie IN SUM OF
15 W. Main
Carmel IN 46032
109.68
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355100
Promotional funds
Board Members
D PT. INVOICE NO. ACCT #!TITLE AMOUNT 1 hereby certify that the attached invoice(s), or
Stmt 4355100 $109.68 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
J2--i7 20
7 1?e r_e_ H
�ignat rat e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund