205278 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 364899 Page 1 of 1
ONE CIVIC SQUARE S S P OF CARMEL LLC CHECK AMOUNT: $85.00
ye CARMEL, INDIANA 46032 30 NORTH RANGELINE ROAD
�..oH CARMEL IN 46032 CHECK NUMBER: 205278
CHECK DATE: 1/512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1160 R4359003 5425 002 85.00 CHOCO COV PRETZELS /HO
SIMPLY
SHOP��
DATE: Nov. 2011
www.Simply5weet5hop (317) 818 -9866 a. INVOICE City of Carmel 002
Bill To:
City of Carmel
DESCRIPTION AMOUNT
85- Chocolate Covered Christmas Pretzels 85.00
NEED TAX ID
TOTAL 85.00
THANK YOU FOR YOUR BUSINESS!
r o -ff� b S ;S
�a 3 5goo 3 F -c-
20
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
Purchase Order No.
Terms
here,b
Date Due
bi /l(s) is
(area Invoice
Board Members Invoice Description Amount
material or Date Number
Se NiZd invoice(s), or 11/30/11 (or note attached invoice(s) or bill(s))
which ch arge 002 $85.00
is
received evice wa that the
Pt -on for
nd
T hurs day
O ember
29 20 1 7
7
M ayor 5
Tip
e
I hereby that t
11 certi
p -1.6 he attached invoice(s), or bill(s), is (are) true and correct and I have audited ame in accordance
with IC 5_
11- 1 s
20
1
Clerk- Treasurer
W p,R
vOVGHER Np.
t Sh
Simp�`I SWee"
30
Nosh Range Line R °ad
Carmel, �N 46032
$85. cill,
OF APPROPR
ON AGGOVNT r�s Off-Ge
Ma o
1NVo% CE No.
PGGT #��-rLE AMOUNT
pp# I Deft 3 .580 -O 3 $85. p
prior year oo2
5425
e� if
ui�on �ed9 hway fund
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c \aim Paid motor