209172 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 354402 Page 1 of 1
ONE CIVIC SQUARE DAVID HABOUSH CHECK AMOUNT: $111.67
�t+ CARMEL, INDIANA 46032 1942 TROWBRIDGE HIGH STREET
CARMEL IN 46032 CHECK NUMBER: 209172
CHECK DATE: 5/2212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 111.67 OTHER EXPENSES
9 4a"..
Shapiro's Delicatessen
918 S Rangeline Rd
Carmel IN 46032
470 Desiree
Chk 1222 May10'12 11:57A Gst 1
1 1/2 Roast Beef 6.60
Swiss Cheese 0.50
1 SmSalmon Sal 6.25
1 1/2 Corn Bf 6.60
t •-1 Fruit Salad 2.50
3 Soft Drink Can 1.60 4.80
1 Stewarts 1,95
1 1/2 Rst Turkey 4.95
Tomato 0.50
Lettuce
1 Pineapple 2.65
1 Tea 1.85
1 Roast Bf Sand 11.30
Swiss Cheese 0.50
1 Potato Salad 2.35
1 1/2 Rst Turkey 4.95
63.49
Subtotal 58.25
Tax 5.24
Payment 63.49
z
Shapiro's Delicatessen
Date: May10'12 12:01PM
Card Type:
Acct J:
Card Entry: SWIPED
Trans Type:.PURCHASE
Trans Key: AIA007212220706
Auth Code: 01026Q
Check: 1222
Server: 470 Desiree
Subtotal: 63.49
TIP:
TOTAL:
CUSTOMER COPY
THANK YOU
McAl1ster Deli
C8[08l IN
2271 Pointe Parkway
C0r08l, IN 46032
317-817-8000
PIP: HAGGIE G DISCOVER
Date 09/05/2012 Time 11:34
Table 329
657482
Card Holder HADUUQ1/UAVIO G
Card Number xx/xx
hth-Code 00906Q Ctrl: 40593
Amou[At'' 48 'l8
Total'' 40 -l8
Cd(dU|80b8r agrees to pay total in
8CCorddDC8 with agreement governing
US8 of 8UCh card.
Customer Copy
p McAl1ster's Deli
Carme l, IN
2271 PO1At8 Parkway
COrNe|, I11`4802
317-817-8000
32[V8[:: LIZ M
C3 5748 2
MAGGZE G Toble 329
Wed 08/05/2012 11:34 AA GU8Stu 6
2 [BECKY l 0.00
1 3NT CHP CHK GRI 6.49
3 PLAIN CHIPS 0.00
I LARGE LEMONADE l.39
1 SUB MARINE 8.68
l LARGE DIET COKE 1.89
l CLUB 6.98
3 SWEET TEA 5.67
2 LEMON 0.00
I CHEF SALAD 6.98
l l/2_& 1/2 TEA 1.88
l GRAB-.N--GO SWEET 5.50
l NOT WORKS 0.00
2 NO LEMON 0.00
SUbTotOl 44.20
Taxes 3.38
Tot al 48 '18
48.18
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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))
$63.49
$48.18
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. W ARRANT NO.
ALLOWED 20
Dave Haboush
IN SUM OF
$111.67
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 120- 851.00 j $63.49 1 hereby certify that the attached invoice(s), or
1120 120- 851.00 $48.18 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 2,1 2012
Fire Chief
T
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund