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215771 12/18/2012
CITY OF CARMEL, INDIANA VENDOR: 363532 Page 1 of 1 ` ONE CIVIC SQUARE DENISE SNYDER CARMEL, INDIANA 46032 CHECK AMOUNT: $127.84 '4„01 GO CHECK NUMBER: 215771 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 851 5023990 127 . 84 OTHER EXPENSES SPECIAL BAKED CAKES #141 7 SPECIAL BAKERY ORDER Please read and follow order form when taking a cake order to be sure the customer understands their options. FOR—Day: Date: Time: ❑A.M. ❑P.M. Customer Name: Customer Phone: CAKE SIZE: ❑1/4 SHT. ❑1/2 SHT. ❑3/4 SHT. ❑FULL SHEET ❑S.L.ROUND ❑D.L.ROUND ❑C/2 ❑C/4 CAKE DOUGH: ❑WHITE ❑CHOCOLATE ❑MARBLE ❑YELLOW ICING: ❑WHITE ❑CHOCOLATE ❑WHIPPED CREAM ❑OTHER DESCRIPTION: PICTURE PERFECT KIT OR EDIBLE IMAGE FLOWERS: ❑YES ❑NO COLOR WORDING ON CAKE: COLOR OF BORDER: COLOR OF WRITING: OTHER INSTRUCTIONS ORDER TAKEN BY: PRICE ***REPEAT ORDER TO CUSTOMER FOR ACCURACY*** =PLEASE CONFIRM STORE LOCATION= Form No.870-0187(rev.9/09) - � U�m�U�8�U U ^� � � ' K��������� �� � �� 2110 E. 116TH STREET CARMEL. IN -46032 (31?)5?6-365O OP DECORATED CAKE 127.81 F **^� mx oo nnL 12' .81 MARSH SUPERMARKET Vll 2110 E 116Tx STREET C8Rn[L. IN qGOJZ i317)675-3650 EFT CREDlr PURCHRSE |2/12Al2 09:3(" HM * CARD # SXxXXX%VXxKKOft 8UTWO129SZ PAYMENT AMOUNT /27 8.1 vp CREDIT l27 8� CHANGE 0 TOTAL NUMBER OF TTEwS 4.'.)0LD ~ \ 12112112 9:36 8x 001^ 05 0098 113 YOUR CASHIER WAS ANN THANK YOU FOR SHOPPING �4A ���L1 / ux ,�� � YOUR HOMEGROWN 8RUCFR SlNCE 1931 � WE VALUE YOU ! CHECK US OUT: h#p://www.mwrah.net r ti N UP TO 5 OTS 5W20 OR 5W30 OIL AND FILTER.REG.$31.99 z OR$10 OFF ANY OTHER OIL CHANGE. MOST CARS E AIN GER FOR DETAILS.EXPIRES 02.5113 AR1140NDODNTS. #72 D m 0 WE W WANT YOU N Experienced Outside CD Sales Reps C. Have You Sold: •Business Advertising •Newspaper N •Yellow Pages •Money Mailer 3 •Val-Pak •Door to Door D Submit Resume Online at:www.rtul.com a ' Ffu lll° fl! o _ _ o --——————————————————— w jiffylqbe- NO APPOINTMENT NECESSARY 10 to SIGNATURE ® 0 FF o SERVICE E D I OIL CHANGE ,':mi CODE:AR2373 W/oupon.Cannot be combined with other I— often.Offer applies to most on.Expires 02/15/13.AR140ND pENNZ01l I z : 1495 KEYSTONE WAY �® i D I�O.IJV000 A dD ,Register Tape— �� Aduertls`ing; 01 --Works' N lip, a'rc1,JT1nu START THIS TAPE 3nt"I"RTUI,L.P.©2012 2 TIRE&AUTO • 01L CHANGE _o ail illl I n z VOUCHER NO. WARRANT NO. ALLOWED 20 Denise Snyder IN SUM OF $ $127.84 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 I 1 120-851.00 I $127.84 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 2oy -a e Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) $127.84 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