160028 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
-1. ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK AMOUNT: $23.27
C/O MAYOR'S OFFICE
CHECK NUMBER: 160028
CHECK DATE: 5/2812008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 23.27 PROMOTIONAL FUNDS
d
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r
l
fe irac ?e Restaurant Group
5 41 'x mes you to Dunkin Donuts
5/23/2008 10:40:14 AM
Eat In
,rd =-r NUmber: 750774
V
egister:l Trar q o: 250724
Cashier:. t E.
2 12 Donuts 15,00
Donut 0
Plat Hai /Chs 3.50
—b. Total. $20,89
I ax:
Total: $21.43
Discou;t Tota $0.00
change $0.00
Master Card: $21.43
Tina Waggoner -Kerr, General Manager
317 581 -0257
I
i
y.3 s� i vv
The Phmrmacy An•ierica Trusts Since1901"
I'm Matt. Thank you for allowing me to
serve you today.
144 10 3743 07618 027
RFN# 0761 8273 -7439- 0805 1520 1
H /CITY ICE7# 1 1,29
H,CITY ICE74 1 1,29
H /CITY ICE7# 1 1.29 -VOID
COKE DT F /P120Z12S 1A 4,49
1/h1 LEMON 20Z A 1.29
M/M LEMON 20Z A 1.20
1 1/ 1,29 2/ 2,49
SUBTOTAL 8,27
A =7% SALES TAX ,49
TOTAL 8,76
DEBIT CARD 8,76
CASH BACK. .00
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14625 Gray Rd Westfield, IN
STORE
ii',.awn Tin,
FOR R
VIALGREENS #7618
SEQ 751827005
CARD# 8067
SEQ 761827005 PAYMENT FROM PRIMARY
RETAIN THIS RECEIPT FOR YOUR RECORDS
MAY 15, 20OR
J W
Prescribed State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
5/23/08 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.
i
Payee
3
Purchase Order No.
One Civic Square Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
R
5/23/08 Receipt Memorial Day Ceremony Donuts for firemen $15.00
Total $23,
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
VOUCHER NO. WARRANT NO.
5/23/08,
ALLOWED 20
ing IN SUM OF
One Civic Square
Carmel IN 46032
23.27
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayors 4355100
XXX PETTY CASH
Promotional
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT.
Receipt 4355100`x• Z7 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
Si at re
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund