HomeMy WebLinkAbout209186 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 354969 Page 1 of 1
0 ONE CIVIC SQUARE MATTHEW HOFFMAN CHECK AMOUNT: $40.55
CARMEL, INDIANA 46032 11711 CAMERON DRIVE
FISHERS IN 46038 CHECK NUMBER: 209186
CHECK DATE: 5/2212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 40.55 OTHER EXPENSES
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 n ote attached invoice(s) or b
$40.55
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.
ALLOWED 20
Matt Hoffman
IN SUM OF
$40.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 I 1 120 851.00 I $40.55 1 hereby certify that the attached invoice(s), or
i 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
MAY 24 2012
J i y g
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Customer Receipt (Store Copy)
Lenny's Subshop #738
820 E 116th St, Ste 130
Carmel, Indiana 46032
Phone: (317) 8161239
Fax (317) 816 -1299
Ready By: Fri 05/11/2012 12:31 PM
Printed: Fri 05/11/2012 12:17 PM
T icket 45
Employee: Brinna
Delivery
7
CARMEL FIRE
1 #5 Club Reg Wheat $6.45
1 Lg Combo AnyCC AnyDr $2.75
1 #2 Itl Reg Wheat $6.55
1 Q Combo AnyCC AnyDr $2.75
1 45 Club Reg Wheat $6.45
1 Lg Combo AnyCC AnyDr $2.75
1 #20 Chef Sld One Size $6.75
1 Lg Combo AnyCC AnyDr $2.75
Sub Total: $37.20
Discounts: $0.00
Taxes: $3.35
Up Charges: $0.00
Total: $40.55
Customer Receipt (Customer Copy)
Lenny's Subshop #738
820 E 116th St, Ste 130
Carmel, Indiana 46032
Phone: (317) 816 -1239
Fax (317) 816 -1299
Comments? Visit www,lennys.com /comments
Ready By: Fri 05/11/2012 12:31 PM
Printed: Fri 05/11/2012 12:17 PM
Ticket 45
Employee: Brinna
Delivery
CARMEL FI"r T
1 #5 Club Reg Wheat $6.45
1 Lg Combo AnyCC AnyDr $2.75
1 #2 Itl Reg Wheat $6.55
1 Lg Combo AnyCC AnyDr $2.75
1 #5 Club Reg Wheat $6.45
1 Lg Combo An,/CC AnyDr $2.75
1 #20 Chef "'id One Size $6.75
1 Lg Combo "OyLC AnyDr $2.75
Sub Total: $37.20
Discounts: $0.00
Taxes: $3.35
Up Charges: $0.00
Total: $40.55
Charge Sale
Payment Amount: $40.55
Gratuity:
Total Charge:
Card Type: AMEX
Card Num -6007
Auth Num 140874
0 MW
W�k
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