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182261 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 359273 Page 1 of 1 ONE CIVIC SQUARE BAZBEAUX CARMEL CHECK AMOUNT: $66.55 CARMEL, INDIANA 46032 111 W MAIN STREET SUITE 155 CARMEL IN 46032 CHECK NUMBER: 182261 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355100 66.55 PROMOTIONAL FUNDS A!' ELAY ii'D E L A Y Ready At 11:15:00 AM P A I D DELIVER`d BAZBEAUX PIZZA CARMEL 111 MAIN ST (317)848 -4488 01/12/10 Chk #1 Open 08:56AM Tkr 0 Reg# 1 08:57AM 16" Cheese 13.50 PEPPERONI 1.60 10" Quattro Formagg 11.95 2 Lg Spinach Salad 13.00 2 house vinaigrett 2 house vinaigrett 2 Lg Spinach Salad 13.00 2 ranch 2 ranch Lg Tossed Salad 5.25 house vinaigrett house vinaigrett Lg Tossed Salad 5.25 ranch ranch Delivery Charge $3 3.00 Subtotal 66.55 TOTAL 66 .55 P A I D Tendered 66.55 HouseAcc Change 0.00 R E P R I N T RAMONA 1 CIVIC SQ DEPARTMENT OF COMMUN CARMEL 571 -2412 3ND FLOOR 5712417 LEFT OFF ELEVATOR $xl Chk# 1 DELAY D E L A -Y Ready At 11:15:00 AM` Ref 378 BAZBEAUX PIZZA CARMEL 111 MAIN ST (317)848 -4488 Check No. 1 Reg# 1 Delivery Date 1/12/2010 8:57:03 AM Authorized: $66.55 Gratuity VOUCHER NO. WARRANT NO. ALLOWED 20 Bazbeaux IN SUM OF 111 Main Street O Carmel, IN 46032 $66.55 I ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department 1 PO #I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1192 43- 551.00 $66.55 1 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 t 12,2010 Director, DO CS Title Cost distribution ledger classification if claim paid motor vehicle highway fund i _Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/12/10 Pizza Special Plan Commission lunch meeting $66.55 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