187359 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1
ONE CIVIC SQUARE MICHELLE KRCMERY
s CHECK AMOUNT: $29.20
CARMEL, INDIANA 46032 433 AUTUMN DRIVE
CARMEL IN 46032 CHECK NUMBER: 187359
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 29.20 PROMOTIONAL FUNDS
Welcome to Dunkin' Donuts
Store #345039
Indianapolis, IN
6/24J200 8:51:12 AM
Eat In
Order Number: 82071
Tax Exempt ID: 312015500
Register:1 Tran Seq No: 82091
Cashier :Deanna B.
1 Ex Joe Orig Blnd 12.99
3 Multigrn Bagel 2.97
Plain Bagel 1.98
'lain Bagel 0.99
Toasted
.bz Plain CC 2.99
'5 Munchkins 4.99
ceTea LG Unsweet 2.29
jb. Total: $29.20
Ix: $0.00
jtal: $29.20
Discount Total: $0.00
Change $0.00
Visa: $29.20
HEY SHEEN
WANT A FREE DONUT WHEN YOU PURCHASE A
MEDIUM OR LARGER BEVERAGE?
Go to TELLOUNKIN.COM within
3 days; tell us about your visit.
Enter Validation Code:
Visit DunkinDonuts.com for
coupon restrictions.
Franchisee: Please use PLU 4201
Try our delicious Coffee and Donuts
P�
G U
V NO. WARRANT NO,
ALLOWED 20
Michelle Krcmery
IN SUM OF
433 Autumn Drive
Carmel, IN 46032
$29.20
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 Receipt 43- 551.00 $2920 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
Thursday, July 01, 2010
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1 95)
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 N umber (or note attached invoice(s) or bill(s))
06/24/10 Receipt $29.20
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