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180855 12/30/2009 4 CITY OF CARMEL, INDIANA VENDOR: 363739 Page 1 of 1 Ra o. ONE CIVIC SQUARE IZZY'S PLACE A DOG BAKERY CARMEL, INDIANA 46032 616 WEST MAIN STREET CHECK AMOUNT: $236.50 i o N CARMEL IN 46032 CHECK NUMBER: 180855 CHECK DATE: 12/30/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039 105 236.50 GENERAL PROGRAM SUPPL Izzy's Place a Dog Bakery invoice 816 West Main Street Carmel, IN 46032 Date Invoice 12/3/2009 105 Bill To Ship To Center, Monon Carmel Clay Parks 1235 Central Park Dr East Carmel, IN 46032 P.O. Number Terms Rep Ship Via F_O_B. Project 12/3/2009 Quantity Item Code Description Price Each Amount 43 2041 Dog Banes by the Pound 5.50 236.50 17 iu DEC 14 2009 Purchase Description q itea t0 S P.O. 4- GI P or F :J G.t.. #3:1 Vrib R Bud i..ine Desor f .(Rf YVSCrpIJ 3 Purchaser Sarcal C pate Approval, 1 f ;1 (f Date "iota! $236.50 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Izzy's Place a Dog Bakery Terms 816 West Main Street Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 716103 105 Fetch the fruitcake dog bones 22927 F 236.50 Total 236.50 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer Voucher No. Warrant No. Izzy's Place a Dog Bakery Allowed 20 816 West Main Street Carmel, IN 46032 In Sum of$ 236.50 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or Board Members INVOICE NO. ACCT #/TITLE AMOUNT Dept 1047 105 4239039 236.50 I hereby certify that the attached invoice(s), or 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 23 -Dec 2009 Zk///VM i/1> Signature 236.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund