167108 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00351403 Page 1 of 1
ONE CIVIC SQUARE JEAN JUNKER
CARMEL, INDIANA 46032 C/O FIRE DEPARTMENT CHECK AMOUNT: $687.50
CARMEL IN 46032
CHECK NUMBER: 167108
CHECK DATE: 12117/2008
DEPARTMENT ACC PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
851 5023990 687.50 OTHER EXPENSES
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Alice's Catering Invoice No. 5522
1760 E. 116th Street
Carmel, IN 46032
706 -1077 fax 706 -1033
I NVOICE
Customer
Name Carmel Fire Dept Date 12/1112008
Address Order No.
City State ZIP Rep
Phone 11 am FOB
Qty Description Unit Price TOTAL
125 baked beans 7 $0.75 $93.75
125 pasta salad V $0.75 $93.75
125 green beans $0.75 $93.75
125 cole slaw $0.75 $93.75
250 cheesy potato casserole $1.25 $312.50
SubTotal $687.50
Payment Details delivery $0.00
O Cash Taxes indiana lexempt
O Check
OO Credit Card #VALUE! TOTAL $687.50
Name
CC Office Use Only
Expires Aug -11
891
Thank you for calling Alice's
Prescribedby State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
Total
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.
ALLOWED 20
IN SUM OF
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
DEC 1 5 NOR
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund