HomeMy WebLinkAbout195069 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 354969 Page 1 of 1
0 f ONE CIVIC SQUARE MATTHEW HOFFMAN CHECK AMOUNT: $46.75
CARMEL, INDIANA 46032 11711 CAMERON DRIVE
FISHERS IN 46038 CHECK NUMBER: 195069
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 46.75 OTHER EXPENSES
#396 CASTLET N, IN
6110 EAST 86TH STREET
CASTLETON, IN 46250
MEMBER-- #11'1,803166227
E 1.01 3 *KS_ WATER 3.45
E e86; CF_ DV COKE 8_ _99JA
E 81, i COCA- COLA 6.99. A
_E (84` COCA -COLAx 8.991 A
E (85° *DIET COKE* 8.99- A
E 904856LHAMBURG BUN-- 2.59
E 383456 RA p E 4.951
E 7100_ 12.119
SUBTOTAL 71.92
A 7 TAX 2.52
TOTAL Lf�L�
VF 74.44
02 /21 /11 SWIPED
02/21/11 10: 7
Se9 001844 APP 536302
Tran 2 82000
Merchant AA
Merchant ID 99034611
APPROVED PURCHASE
AMOUNT: $74.44
0346 009 0000000023 0005
CHANGE .00
TOTAL NUMBER OF ITEMS SOLD m 10
CASHIER: PETER K REG# 9
W MA I&IM11 10:37 0346 09 0005 23
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PLEASE= COME AGAIN
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Matt Hoffman
IN SUM OF$
$46.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 1 120 851.00 I $46.75 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 2011
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))
Interview Board $46.75
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