HomeMy WebLinkAbout171868 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1
ONE CIVIC SQUARE NANCY HECK
i' CHECK AMOUNT: $51.08
CARMEL, INDIANA 46032 CHECK NUMBER: 171868
CHECK DATE: 4/29/2009
D EPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESC _T
1160 4355100 5.1.0$ PROMOTIONAL FUNDS
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GSAR 800000530072001 Store 3 ,00l River Pizza #3
14931 Greyhound Ct. #A
Cool River Pizza #3 Carmel, IN 46074
14931 Greyhound Ct. #A (317) 818 -1388
Carmel, IN 46074 Server: Chris Station: 8
(31 7) 818 -1388
Date: 4/14/2009 11 :08;48 AM Order 30863 Delivery
Server: (317; 460 -3498 Melony
Chris 4721 16 Carmel
Acct
Cross Street: gray /146
Remarks: Vine and branch
r RESULT CAPTURED SALES SETTLED
TroutD 18102 1 XLarge Pizza 16 "(x) 19.99
RUTH. 014128 Entire Pizza
REF. D0000000 Sausage (x,)
ORDER 30,863 2nd Half
:k O l ives (x)
PURCHASE: 'ge Pizza 16 "(x) 16.9
$48.08 eroni (x)
ENTER TIP HERE: ge Pizza 16 °(x) 16.9'
:rani (x)
PLEASE TOTAL, d �d Green Salad 4.9`
rmilk Ranch
ed Chicken Salad 6.9E
I agree to pay the above total amount Chicken
according to card issuer agreement ,used Green Salad
(Merchant agreement if credit voucher) 4.95
Honey Dijon
1 Cheesy Breadsticks 6,30
SIGN X: 2 Sauces
Cheese Sauce
Red Sauce
Merchant Retain This Copy Cash Discount (By Chris Pierce) (14.00)
Restaurant Mode Delivery Charge 1.95
TAX EXEMPT SALE
SUB TOTAL: 65.07
Tax 1: 0.00
4-,o4 AMOUNT DUE: $65.07
48.08
16.99
t� r1C� 7S4�-W r TOTAL TENDERED' $65.07
1N1` Co'-'r M e, CHANGE: v -W O 00
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
E. ACCOUNTS PAYABLE VOUCHER
r 4/2/09 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
Nancy Heck Purchase Order No.
One Civic Squ Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/ 14/0 1 Receipt Lunch for Conn ecting
Total
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
VOUCHER NO. WARRANT NO.
27/ng ALLOWED 20
m. Na Heck IN SUM OF
One Civic Sq
Carmel In 46032
51.08
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355100
Promotional Funds
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Receipt 4355100 $51.08 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
/2 7 206 9
e u re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund