186911 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1
ONE CIVIC SQUARE MICHELLE KRCMERY
CARMEL, INDIANA 46032 CHECK AMOUNT: $72.35
433 AUTUMN DRIVE
CARMEL IN 46032 CHECK NUMBER: 186911
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 72.35 PROMOTIONAL FUNDS
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Table
Check \Per Tab Server Time Date
345551\1 13 205 1:55:58 PM 6/15/2010
1 CHICKEN PESTO SAND 7,75
3 DIET COKE 6.75 Date: 6/15/2010 Time: 2:05:14 PIS
1 CHICKEN BLT SALAD 9,95
1 CHICKEN SAND 6.95
Card Type:
SUB FRIES 1.00 Server Name: AARON
COKE 4,50 Check Number; 345551
POTATO SAL 5.50 amber: 13
LEMONADE 2,25
BAC,'CHED CHICKEN SAND 7.75
lwner: KRCMERYJMICHEECE A
Food Sub -Total 60.35
SUB TOTAL 60.35 PDX E H
Sales Tax 0.00
IP
TOTAL
THANK YOU X
AARON
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Michelle Krcmery
IN SUM OF
433 Autumn Drive
Carmel, IN 46032
$72.35
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 Receipt 43- 551.00 $72.35 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
Monday, June 21, 2010
ayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
06/15/10 Receipt $72.35
1 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