161935 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361428 Page 1 of 1
ONE CIVIC SQUARE M C L CARMEL
CARMEL, INDIANA 46032 1390 KEYSTONE WAY CHECK AMOUNT: $291.90
CARMEL IN 46032 CHECK NUMBER: 161935
CHECK DATE: 7/23/2008
DEPARTM ACC OUNT PO NUMBER INVOI N AMO DES CRIPTION
920 4239099 070108 291.90 OTHER MISCELLANOUS
Name: P c va �JA Address:
i STAVR'AN B;`6gx
Phone: Email:'
i
SPECIAL ORDERS Order Date: Order Taken B
Pick-up Delivery Date: Time: Store:
ORDER TYPE: []Pick ❑Delivery [I Catering* Banquet
ITEM QUANTITY PRICE TOTAL
1
SPECIAL SERVICES
Number of guests being served: x Charge per guest:
NOTES
ORDERTOTAL
Sales Tax
Subtotal G� Q
Off -site Catering /Delivery (18
GRAND TOTAL
Paid Bill to: Mgr. Approval
*All special ot•der deliveries and offsite caterings aa subject to an 18% service fee.
1
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
whom, 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))
07/01/08 07/01/08 Keystone Reconstruction Project $291.90
Other Miscellaneous Business Roundtable Mtg Carmel Link
Project 07 -08
3
Total $291.90
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 Ca ALLOWED 20
1390 Keystone Way IN THE SUM OF
Carmel IN 46032
291.90
ON ACCOUNT OF APPROPRIATION FOR
MCL Carmel
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEPT.#
NA 07/01/08 4239099 $291.90
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
July 21, 20 08
Total $291.90 Signature
Cost distribution ledger classification if Cit En
claim paid motor vehicle highway fund Title