191639 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 355466 Page 1 of 1
ONE CIVIC SQUARE KEITH FREER CHECK AMOUNT: $82.38
r
CARMEL, INDIANA 46032 1413 N. FAIRVIEW STREET
ALEXANDRIA IN 46001 CHECK NUMBER: 191639
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 82.38 OTHER EXPENSES
v 1 041
����rQ�c ��r
too
Right Slaill's. 11101 Frilo'll.
1217 S. RANGFLINF RD.
317-846 -4818
YOUR CHS[IfF.R WAS FIPR
cl.HS (AIR 1 .89 B
1 .89 B
CF 1 .89 B
SPRITE CHTR 1.89 B
KRO W111 FILK 1 .89 F
ri14 opl., ca 3.9 F
f 81 10 R1 SIC( lop", 3.99 r
RG PR'Ll 2.99 1:
811D I I F AKF 3.99 F
C 2/6.00
6KR'e C'0011 I [S 3.00 F
Gl% WIT" is 9.72 F
VRVIN CUP IS 3.35 P
SOLO f'BlU'UP PC 2.50 1
sc PLUS. ("pfilb SAVINGS 1 .49
KIRO FORH :S PC I 15 1
sc PLUS CARD SM 0.20
1 .25 lb (3 0.119 /lb
wl
EXIL Pl..011E5 Pf� x .38 T
sc PLUS. C'SRO SMINGS 0.
KIM PPR MPKN PC 1.39 1
sc PLUS' ('FRD SAV fmGs 0.20
KROGER PLUS Clc
TAX
9. 56
021 QOGFfi og!"c
121- 1 S. PhNELIAl" Pli,
CARMEL- IN 1603""
x ',4 1 K x XJ�
TOTAL: 99 Se.
REFk: 207:
44.56
RESTAURANT? Valid fur Dinner only I'
(Up to a $10.00 value) II
Lunch Offer- T
Out Me �I o
nu
12180 N: Meridian St. i
r Carmel, IN 46032 $H•00 Off Per Person.
:Y• t,. ,317 -580 -082$ Omlt ona coupon per tahle. ti
Not valid with any other offer. Evplres 02/15/11. KR0959OND Z
n
J {C ,o.fn•y.
�-�Y' y 1 i t yam.... ����h�f✓�`l p'.
ra r y v0
Click Here
C.
b for Savings! slk�yh .m
tw /J/ ww
A1TENflON CASHIERS: 10/20/10
s oil change filter
y w L install new filter
f I Includes refill up to 5 quarts of
premium motor oil
lubricate chassis (if applicable)
Ttie;ezperience you want:'i 'fre _14 point courtesy check
x I
90".
f with this
13141ange Line iload i0ffer End. Coupon �S I
,py ®�1® o®02 -15.11 Add$2.50foroil Tirestonel
��`�dl -8 48 6 filter recycling. COMPLETE AUTO CARE
KR09590ND 46032 4958A
y y u
r Buy One Dinner, Entree Oz
Get a 2nd Dinner Entree o
v r+ t (of equal or lesser value)
for 1/2 OFF a
b� o
R E STAU RANT
Valid for Dinner only. O
S (Up to a $10.00 value) AD
Carry Out Menu N
K Lunch Offer: z
12150 N. Meridian St. t
i Carmel, IN 46032 t 00 ®f Per Person i
i t. ;j 1' 317- 580 -0828 Llmil one coupon portable.
Not rolld with any other oiler. Ez fires 02/15/11. KR0959OND
t BE GREEN Np
P F.n
OFF o.
ke your t 1 OFD
dr er i
vent clean n N
7
;ANY DRYERVENT":' w
INSTALLATION (LEANING o
BR QfJir'146QAF1 a GY dLE`e�RQ ®WYBVUq(�
e n
0
Papa Johns
Restaurant 41485
18598 North College Avenue
Indianapolis, IN 46280
(317) 846'7272
Name: Keith
Addrass� 2 Civic Sq
Carmel IN 46032
Order 0001 Phone Delivery
270463 2018-11-84 11:00 AM
Out Time: 11:21 AN
Cord Type:
Account xxxmg@ft
Authm'iia iun 80674P
Roforeore 0: 125073
Batch I8: 8
Subtotal: 31.99
Tax: 2.88
Total: 34.87
Mastercard: 34.87
Tip:
Total:
Additional Tender Amt: 0.80
Customer Signature
Customer Copy
I agree to pay total amount according �u
the card issuer agreement.
Thank You For Chno�;inA
Papa Johns
VOUCHER NO. WARRANT NO.
ALLOWED 20
Keith Freer
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT
Board Members
1120 r 1 hereby certify that the attached invoice(s), or
3 bill(s) is (are) true and correct and that the
o materials or services itemized thereon for
which charge is made were ordered and
received except
NOV 8 2010
c
Fire Chief
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))
$83.43
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