206314 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352899 Page 1 of 1
ONE CIVIC SQUARE ADRIENNE KEELING CHECK AMOUNT: $228.48
CARMEL, INDIANA 46032 C/O DOCS
C/O DOCS CHECK NUMBER: 206314
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355100 REIMB 228.48 PROMOTIONAL FUNDS
McAlister~s Deli
CdF08l, IN
2271 Pointe Parkway
Carmel, IN 460)32
[MP: NATHB4 T VISA
Ddte 3l/Ol/2O12 Time 10:03
.Table 415
520927
Card N/|Nb8r XXxXXXYXXXx75550 Xx/xX
ACth-CuU8.. 00634C Ctrl: 51672
AN8umt 228.48
Total'-
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Customer Cnpy **4
4
McAlister Deli
Carmel, IN
2271 Pointe Pdrkwoy
C0r08!, IN 46032
317-817-8000
i 209 27
ATHEW T Table 415
TUe 31/01/2012 10:03 AN GU8stG 6
'L—'
I [RANONA l 0.00
22 WRAP TRAY (O-lO 170.00
2 COOKIE TRAY 29.88
l GAL--SWEET W 7.50
1 2 GAL1UNSNT N/CUP 15.00
_-L-_'__--_----__-_—__'----------
5UbTOt0l 228.48
Tot a.l 228'4.8
ANUUnt A00] iad 228.48
T8OUBr8d 228.48
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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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/31/12 Dinner for the Dialog Dinner $228.48
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. WA NO.
Adrienne Keeling ALLOWED 20
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$228.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1192 43- 551.00 $228.48
I hereby certify that the attached invoice(s), or
I
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
Monday, F brua y 1 012
Dir
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund