HomeMy WebLinkAbout215663 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 354969 Page 1 of 1
0 ; ONE CIVIC SQUARE MATTHEW HOFFMAN CHECK AMOUNT: $81.03
CARMEL, INDIANA 46032 4736 HAVEN LAKE RD#B
INDPLSIN 46280 CHECK NUMBER: 215663
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 81 . 03 OTHER EXPENSES
Papa Johns
Restaurant #1485
10598 North College Avenue
Indianapolis, IN 46280
.(317) 846-7272
413543 1211212012 10:30am
IhStore Order
Name:. h'offman
`Restaurant Order'#: 0003
Account #: xxxxxxxxxx
Authorization #: 234735
Reference #: 194105
Batch ID: 0
Order Amount: 74.34
Tax: 6:69.
Total Amount: 81.03
American Express: 81.03
Tip;
Total:
Addtl Tender Amt: 0.00
Any delivery fee charged is not a tip
for the driver. Please reward your
Driver with a tip for outstanding
service.
Customer Signature
X
Customer Copy
I agree to pay total amount according to ..
the card issuer agreement.
Thank You For Choosing
Papa Johns
Text PJ1486 to. 47272 (4PAPA)
to get local text -offers!
Msg & Data rates may apply.
Visit www.papajohns.com for details.
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Matt Hoffman
IN SUM OF $
$81.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
r
PO#/Dept. INVOICE NO. ACCT#!TITLE I AMOUNT Board Members
1120 I 1 120-851.00 I $81.03 1 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 DEC 17 2019
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201(Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
,n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
ihom, 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))
$81.03
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