192145 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1
ONE CIVIC SQUARE MICHELLE KRCMERY CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 433 AUTUMN DRIVE
CARMEL IN 46032 CHECK NUMBER: 192145
CHECK DATE: 1112312010
DEPARTMENT ACCOUNT P NUMBE INVOICE N AMOUNT DESCRIPTION
1160 4355100 30.00 PIZZA STUFFING BAGS
PL C r 3,- e—.� cm f
LITTLE CAESAR'S
116th and Rangeline
Behind Harris Bank
(317)575-9260
COPY
1 HNR PEPERONI 5,00
1 HNR PEPERONI 5.00
1 HNR SAUSAGE 5.00
1 HNR SAUSAGE 5.00
1 HNR CHEESE 5.00
1 HNR CHEESE 5.00 3 p 0 C)
0 MUM
TAXABLE 6 30.00
SUBTOTAL 30.00
TAX TOTAL 0.00
TOTAL 30.00
AMOUNT: 30.00
ACCOUNT# :XXXXXXXXX
RUTH# :04536C
REFERENCE# :000000062358
CUSTOMER COPY
0113 STA# 1 Station 01 NOV-18,2010
#070 P. Armstrong 11:43
THANK YOU! THANK YOU!
cf;lF t AGAT
H355100 7 omoo4;
VOUCHER NO. WARRANT NO.
ALLOWED 20
Michelle Krcmery
IN SUM OF
433 Autumn Drive
Carmel, IN 46032
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# I Dept, INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1160 Receipt 43- 551.00 $30.00 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, November 22, 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. 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
whole, 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))
11/18/10 Receipt $30.00
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