164322 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 356917 Page 1 of 1
i ONE CIVIC SQUARE MELANIE LENTZ
CARMEL, INDIANA 46032 8440 E 131ST STREET CHECK AMOUNT: $24.88
"•o� FISHERS IN 46038 CHECK NUMBER: 164322
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 24.88 PROMOTIO14AL-FUNDS`
X
R' m
i
Simply Sweet Shoppo Q
30 North Rangel ine Rd
Carmel IN 46032
317) 818 -YUMM �f, be
Date: 09!25/08 Time: 11:16 am
Order 110
Server ynn U.
Paid: Paid
COUNTER
Cashier: Lynn W
Payment 4561
Auth Code: 056248%1
Ref No: 0002
Card# XXXXXXXXXXXX8067 Sniped
1 OPEN FOOD /BEVERAGE $25.00
Adjustments
*Discount* $1.75 (Check) ($1.75)
Sub- total: $23.25 �Z
Tax: $1.63
aS C',�
$74,88
I agree to pay above total amou1:i
according to card issuer agreement
(merchant agreement if credit voucher)
thank You
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
9/29/08 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
;t Melanie Lentz Purchase Order No.
8440 E. 131st St. Terms
Fishers IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/25/08 REcei t Ja anese Garden Bridge ribbon cutting coffee $24.88
Total $24.88
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.
9/29/08
ALLOWED 20
Melanie Lentz IN SUM OF
8440 E. 131st St.
Fishers IN 46038
24.88
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayors 4355100
Promotional funds
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Receipt 4355100 $24.88 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
20
Sign ure
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund