192197 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
i CHECK AMOUNT: $22.67
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE
o� a+ CIO MAYOR'S OFFICE CHECK NUMBER: 192197
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 22.67 FESTIVAL /COMMUNITY EV
e ase
Oelcome to Dunkin' Donuts
Store #345039
Indianapolis, IN
11/10/2010,8:04:38 AM
Eat In
Order Number 166196
C-
Register:1 Tran Seq No:. 16819{
Cashier:Deanna B.
12 Donuts 7.9
fx Joe Orig Blnd 12.9
-Bt 1 Water MD
-pub Total: $22.1
iax: $2.
ota 1: $24.'"
'iscount Total: $'0,
.hange $0.00
$24.71
HEY MEHIN
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash Steve Engelking
IN SUM OF
One Civic Square
Carmel, IN 46032
$22.67
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1160 Receipt 43- 590.03 $22.67 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
Friday, November 19, 2010
or
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))
11/10/10 Receipt $22.67
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