190351 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1
ONE CIVIC SQUARE MICHELLE KRCMERY CHECK AMOUNT: $59.90
CARMEL, INDIANA 46032 433 AUTUMN DRIVE
CARMEL IN 46032
CHECK NUMBER: 190351
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
1160 4355100 59.90 PROMOTIONAL FUNDS
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Server: ANDREW B Rec: 12
09/14/10 14:04, Swiped T: 55 Term: 3
TONY SACCO'S CARMEL IN
14405 CLAY TERRACE BLVD
CARMEL, INDIANA 46032
(317 )574 -3473
MERCHANT
TONY SACCO'S
COAL O V E N PIZZA CARD TYPE ACCOUNT NUMBER
14405 CLAY TERRACE BLVD XXXXXXXXXXX?M
STE 150 MICHELLE A KRCMERY
CARMEL, IN 46032 -3610 PANSACTION APPROVED
317 574 -3473 JRI7ATION 01513C
rence: 0914010000117
7a Table 55 Party 5 •'3 TYPE: Credit Card SALE
B SvrCk; 4 1:19p 09/14/10
CK 49.90
PASTOR 18.00
AARCO POLO* 15.95 Cc) "APO* 15.95
TOTAL
Sub Total: 49.90
09/14 1 :48PT O T A L; 49 90
X
PHONE:
*Duplicate Copy
CARDHOLDER WILL PAY CARD ISSUER ABOVE
AMOUNT PURSUANT TO CARDHOLDER AGREEMENT
PLEASE SIGN i COPY AND KEEP THE 2ND
A-b
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Michelle Krcmery
IN SUM OF
433 Autumn Drive
Carmel, IN 46032
$59.90
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE N0. ACCT#/TITLE AMOUNT Board Members
1160 Receipt 43- 551.00 $59.90 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
Friday, September 24, 2010
Mayor
U 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))
09/14/10 Receipt $59.90
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
1 20
Clerk- Treasurer