177703 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350460 Page 1 of 1
f ONE CIVIC SQUARE MARK HULETT CHECK AMOUNT: $70.05
CARMEL, INDIANA 46032 7526 STONEY SIDE LANE
INDIANAPOLIS IN 46259 CHECK NUMBER: 177703
CHECK DATE: 9/29/2009
DEPARTME A PO NUMBER IN NUMBER AMOU DESCRIPTIO
851 5023990 70.05 OTHER EXPENSES
Prescribed by 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 �Q
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
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
SEP 2 2009
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Panera Bread
Cafe 1066
2476 East 116th Street
Carmel, IN 46032
Phone: 3175668444
Fax: 3175668445
9/21/2009w. 9:27:30 AM
Order: 326830 Cashier: Kristi
1 DOZEN HALF 11.99
6 $BGL CINN CNCH
6 $BGL PLAIN
6 $BGL BLUBRY
1 2 TUB CC 4.99
2 Plain TUB
1 HALF DOZEN 5.69
3 $BGL ASIAGO
3 $BGL DCH APPL
SubTotal 22.67
Tax ry0.070
Total
Master Card 22.67
Acct:XXXXXXXX7182
AuthCode:093300
Trans #:195
1111 US HOW H ARE DOING
AND YOU MAY WIN $2000
GO TO WWW .PANERASURVEY.COM
OR CALL 1- 877- 467 -8436
WITHIN 48 HOURS/ MONTHLY DRAWING
RULES AT VAJW.PANERASURVEY.COM
TO GO
Your Order Number is, 330
Customer Pager;
Customer Copy
Welcome to Dunkin' Donuts
Store #345039
1305 S Rangeline Rd, Carmel
9/23/2009 8:10:01 AM
Eat In
Order Number': 5686
Register.;:l Tran Seq No: 568469
Cashier:Hiram E,
1 12 Donuts 8.25
1 Bx Joe Orig Blnd 13.95
°1 —R01 ice 10 (2.22)
Sub. Total, $19.98
Tax.: $1.13
Total: $21.11
o
Discount 1 l: ($2.22)
Change $0.00
Master Card: $21.11
HP AMERICA!
WANT A FREE DONLr WHEN YOU PURCHASE A
MEDIUM OR 1..ARGER BEVERAGE?
Go to TELLDI,NKIN.COM within
3 days; tell us about your visit.
Enter Validation Code:
Visit Dunki:iDonuts.com for
coupon restrictions.
Franchisee: Please use PLU #201
1305 S Rangeline Rd„ Carmel
317 -581 -0257
Welcome to Dunkin' Donuts
Store #345039
1305 S Rangeline Rd, Carmel
9/22/2009 8:50:12 AM
Ea 7�I}n
Order Number: 567937
Register:l Iran Seq No: 567932
Cashier:Hiram E.
2 12 Donuts 16.50
1 Bx Joe Orig Blnd 13.95
1 Police 10% (3.05)
Sub. Total: $27.40
Tax: $1.13
Total: $28.53
Discount Total: ($3.05)
Change $0.00
Master Card: $28.53
HEY MERID!
WANT A FREE DONUT WHEN YOU PURCHASE A
MEDIUM OR LARGER BEVERAGE?
Go to TELLDUNKIN.COM within;
3 days; tell us about your visit.
Enter Validation Code:
Visit DunkinDonuts.com for
coupon restrictions.
Franchisee: Please use FLU #201
1305 S Rangeline Rd, Carmel
317 -581 -0257
i