HomeMy WebLinkAbout195019 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 079900 Page 1 of 1
ONE CIVIC SQUARE GARY DUFEK CHECK AMOUNT: $32.40
CARMEL, INDIANA 46032 12610 OVERTURE DRIVE
CARMEL IN 46033 CHECK NUMBER: 195019
CHECK DATE: 3/2/2011
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 32.40 OTHER EXPENSES
PIZZA HUT
*'CARRY—UUT
CHANGED
Ticket 00.093
ENTERED BY
Internet
'023884 02/24/11 05:13PM "M
GARY DUFEK
(3,11.)511 -7672
:1st Int Ord
01 1 Large 12.00
Hand toss
Vi
Ch Lover
02 1 Large 1 00
Hand toss
Meat Lvr
03 1 'Large 12.00
Hand toss
Ueg Lovr
04 2, Order 8.00 0
BreadSix
05 2 Order 2.'00 m
Ch scE
COUPON (CS) DISCOUNT 16.00
Subtotal 30.00
SALES TAX 2.40
Balance Due 32.40 n
Amt Tendered g
Credit Card 32.40
Change 0.00
P
Taken at 05:13PM
Pick Up at 05:28PM
m
hi8kin' it Great
lhrn Vou
A
CHANCE to WIN! $1000g
Store No, .073384
(see back for deta.il.$) P
T
MR a a bD0
DO CG(IG�G�ICGg 400 i
�a� �Il Qa��
'CASH and iPod PRIZES available to be
WON EVERY DAYH
go Iro 0 0
www.° 011pEZ�Z�aLII1M�.com
,Please refer to the front'of your receipt
for your store number.
OR
1 chance to win $1,000 by calling 1- 877- 440 -9091
Diganos en espanol. Como le estamos
atendiendo a usted?
1 2 3' 4 -`5
Strongly Strongly
Disagree Agree
*****KEEP THIS RECEIP TO ENTER****
NTERS
Most be of legal age to enter. Void where prohibited. No
purchase necessary. Please visit www.tettpiizahut.com for
PREVIOUS WINNERS and complete sweepstakes details. Cash
prize value of $1,000 per day. Apple iPod® prize value of $200
per day. iPodOO is a registered trademark of Apple Inc. Apple is
ne ther a participant in nor a sponsor of this promotion.
J
Tell/us about "your visit and•'
a chance to M
'NON an O F0
1 M ao cmkm� Ira
te 2 M
CASH and iPod PRIZES available to be,
WON EVERY DAYH
0 �t�,
\WWWle ftut.com o0zz
f Please refer to)the front of your receipt
for your store number
OR
t
1 chance to win $1,000 b),.catlingi 1 -877- 440 -9091
Diganos en espanol Como le estamos
atendiendo a usted?
!1 2--- 3--- 4 -'5
Strongly Strongly
Disagree 1 Agree
*KEEP THIS RECEIPTTO ENTER
Must be of legal age -to enter. Void where prohibitedr No
purchase necessary. Please visit www.tetLpizzahut.com for
PREVIOUS WINNERS and complete sweepstakes details. Cash
prize value of $1,000 per day. Apple iPod® prize value of $200
per day. iPod0 is a registered trademark of Apple Inc. Apple is
neither a participant in nor a sponsor of this promotion. I
I
o
Tell us about visit and
MM receive a chance-to
M R D p0 DD o
plug@ I
11;0 CG AH' CGg 51.QoO
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gary Dufek
IN SUM OF
$32.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 120 851.00 I $32.40 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
FEB 2-8 2099
a !9 d
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts I 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 att or bill(s))
Merit Board $32.40
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