161897 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 354034 Page 1 of 1
ON.F CIVIC SQUARE INDY MELLOW MUSHROOM
CARMEL, INDIANA 46032 2340 E 116TH ST CHECK AMOUNT: $75.45
CARMEL IN 46032 CHECK NUMBER: 161897
CHECK DATE: 7/23/2008
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
9,20 4239099 071508 75.45 OTHER MISCELLANOUS
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CITY OF APMEL f �J
JA.i%E -s BRAINARD, MAYOR
LETTER OF TRANSMITTAL
Date: July 25, 2008
To: Sandy Johnson
Clerk Treasurers Office
From: Jeremy Kashman
Keystone Project Manager
Dept. of Engineering
RE: Lunch Meeting Receipt- Keystone Executive Business Meeting
Enclosed please find the original receipt for a Keystone Business Lunch from
Mellow Mushroom for $75.45.
Thank you.
DEPARTMENT or FN'GIiNeHR1NG
ONE CIVIC SQUARE, CARMEL, IN 46032 Orrice 317.771.2441 FAx 317.771.2439
EMAIL �rikirtccrin��crme�.in.s�o
�,c�.c,J �c—. �a.J s�.,u 5 �r.uurL..��.�-
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Indy Mellow Mushroom
2340 E. 116th Street
Carmel, IN 46032
Server: Laura B. 0YI
Randy /1
Guests; 0
10 0 04
MED BBQ Chicken 16,25
Medium Gurmet White 16.50
tedium Cheese Pizza 14,45
Pepperom
Italian "SaLlSage
Medium Kosmic Karma Fie 16.2-
ALAD FOR 8 12.O0
Sub Total 15.45
Fax
Total 82.24
Ba 1 arnce Clue 84
This Guest. Check Good For
$3 OFF Your Next Order at $10
Or More, Nhen You Visit
'dnllrn: Mi ?ahrrnm Itilith�n tho
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
Indy Mellow Mushroom Purchase Order No. NA
2340 E. 116th Street Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/15/08 7115108 Keystone Reconstruction Project $75.45
Other Miscellaneous Executive Business Committee Meeting
Project 07 -08
Total $75.45
I 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
w
VOUCHER NO. WARRANT NO.
Indy Mellow Mushroom ALLOWED 20
2340 E. 116th Street IN THE SUM OF
Carmel IN 46032
75.45
ON ACCOUNT OF APPROPRIATION FOR
Indy Mellow Mushroom
(7) A A�
INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPEP T
NA 7115108 4239099 $75.45
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 $75.45 Signature
Cost distribution ledger classification if Cit En
claim paid motor vehicle highway fund Title