160962 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 361428 Page 1 of 1
ONE CIVIC SQUARE M C L CARMEL CHECK AMOUNT: $357.00
CARMEL, INDIANA 46032 1390 KEYSTONE WAY
CARMEL IN 46032 CHECK NUMBER: 160962
CHECK DATE: 6/25/2008
DEPARTMENT AC P NUMB I NVOICE NUMBE AMOUNT DESC RIPTION
'920 4239099 357.00 BREAKFAST
17
I
1 5 -1 10 1 13 1 SE ACCOUNT INVOICE
INVOICE DATE: 5 -14 -08
RES TAURANT BA e4je
HOMEMADE EVERY DAY.
GROUP NAME: City of Carmel CONTACT: Dave Scriptze
ADDRESS: One Civic Square, Carmel IN 46032
CITY STATE ZIP: PHONE 455 -0457
DATE OF
CHARGE ITEMS Q UANTITY PRICE TO
5 -13 -08 Continental Breakfast 60 5.95 357.00
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n
�x
Tax -4071�r
TOTAL DUE:
Term Net 3g des
PAYMENT TYPE: J K
MC Visa AmEx Card Exp. Date:
Personal or Company Check
Please remit to: MCL Carmel- 1390 Keystone Way- Carmel IN 46032 317-844-9217
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
whit, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
MCL Carmel Purchase Order No. NA
1390 Keystone Way Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/14/08 5 -14 -08 Keystone Reconstruction Project $357.00
Other Miscellaneous Breakfast
Project 07 -08
-r
Total $357.00
1 hereby certify that the attached invoice(s), or bills(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.
MCL Carmel ALLOWED 20
1390 Keystone Way IN THE SUM OF
Carmel IN 46032
357.00
ON ACCOUNT OF APPROPRIATION FOR
MCL Carmel
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
NA 5 -14 -08 4239099 $357.00
I hereby certify that the attched 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
June 23, 20 08
Total $357.00 Signature
Cost distribution ledger classification if Cit En
claim paid motor vehicle highway fund Title