192233 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364899 Page 1 of 1
ONE CIVIC SQUARE S S P OF CARMEL LLC
CARMEL, INDIANA 46032 30 NORTH RANGELINE ROAD CHECK AMOUNT: $165.00
CARMEL IN 46032 CHECK NUMBER: 192233
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CHECK DATE: 11123I2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 21493 HOTS1110 165.00 HOLIDAY ON THE SQUARE
SSP of Carmel LLC D e q ARTS DESIGN DISTRICT Z4 WOME
z BUSINESS ASSOCIATION OF CARMEL
Adding Back to the Community
30 North Rangeline Road
Carmel, IN 46032 r`J INVOICE #HOTS1110
SIMPLY
Phone 317 818 -9866 DATE: NOVEMBER 20, 2010
SHOPPE
TO:
Michelle Kreme 30 Nodh RangeGne Road, Carmel
ry 317 818 -YUMM (9866)
City of Carmel w .6imply— eehhoppe Corn
One Civic Square a r n
Carmel, IN 46032 jjj -i lam.
317 571 -2700
COMMENTS OR SPECIAL INSTRUCTIONS: G Y C�'�! C-1
SALESPERSON P.O. NUMBER REQUISITIONER SHIPPED VIA F.O.B. POINT TERMS
N/A N/A N/A N/A Due on receipt
QUANTITY DESCRIPTION UNIT PRICE TOTAL
150 Assortment of chocolate covered pretzels Holiday on the Square 1.10 165.00
r V e..r f V D h} r S
SUBTOTAL 165.00
SALES TAX
SHIPPING HANDLING
TOTAL DUE 165.00
Make all checks payable to SSP of Carmel LLC
If you have any question concerning this invoice, contact Bernie Szuhaj, 818 -9866, bernie@30northrangeline.com
-v n
Thank you for your business!
Lt 0j
VOUCHER NO. WARRANT NO.
ALLOWED 20
SSP of Carmel LLC IN SUM OF
30 North Rangeline Road
Carmel, IN 46032
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
O# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1160 HOTS1110 43- 590.03 $11.00 1 hereby certify that the attached invoice(s), or
(;;49E HOTS1110 43- 590.03 $154.00 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
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))
11/20110 HOTS1110 $11.00
11/20/10 HOTS1110 $154.00
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