179292 11/11/2009 a- CITY OF CARMEL, INDIANA VENDOR: 363580 Page 1 of 1
ONE CIVIC SQUARE LA MIE EMILIE
CHECK AMOUNT: $54.00
CARMEL, INDIANA 46032 15 W MAIN STREET
CARMEL IN 46032 CHECK NUMBER: 179292
CHECK DATE: 11/1112009
DEPARTMENT ACCOUNT P NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1160 4355100 1 54.00 PIE /COFFEE APA
O/ l41 7 V 3 SS
La Mie Emilie Invoice
15 W. Main Street
Carmel, IN 46032 Date Invoice
10/21/2009 1
Bill To Ship To
City of Carmel City of Carmel
Nancy 1-leck Nancy Heck
One Civic Square
Carmel, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
Due on receipt 10/22/2009
Quantity Item Code Description Price Each Amount
18 Pie Coffee APA, IN Chapter Excursion: Oct. 22, 2009 3.00 54.00T
al o
ti3s5 god
Total
'Agg
Prescribed by State Board of Accounts City Form No- 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
"11/9/09 CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
%horn, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
L Mie Emilie Purchase Order No.
1 5 W. Main 5t. Terms
C armel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/21/09 1 Refreshments food for Tour of the City $54.00
Total $54.00
1 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.
x09/09
ALLOWED 20
La Mie Emilie
IN SUM OF
15 W. Main St.
Carmel IN 46032
54.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355100
Promotional funds
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 4355100 $54.00 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
L�/9 20 6 9
dig ate
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund