HomeMy WebLinkAbout217839 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 360690 Page 1 of 1
ONE CIVIC SQUARE JOHN THOMAS
CARMEL, INDIANA 46032 11576 CREEKSIDE LANE CHECK AMOUNT: $31.13
CARMEL IN 46033 CHECK NUMBER: 217839
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 31 . 13 ORGANIZATION & MEMBER
REPRINT �^
�ZS VILLAGE PIZZA {
^ 108 S.UNION ST, s��
WESTFIELD,IN.460 �`� l�U
317.896.5050
02/21/2013 14:19:40
Merchant ID: 518993970132007
Device ID: 1104
Terminal ID: PD04,
CREDIT CARD
CARD XXXXXXXXXXXX1043
TRANS# 019
Batch#: 6
SERVER 0004
Approval Code: 001714
ACI Code: E
TRANS ID: 283052694600344
Entry Method: Swiped
Mode: Online {
SALE AMOUNT
TIP AMOUNT
TOTAL AMOUNT
Gratuity Guidelines
1n%=12.61 _15% =_$3.91 20%=$5,22
THANK YOU
MERCHANT COPY
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
John Thomas Purchase Order No.
Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
1/0/1900 0 Stormwater mtg with HC, John and Amanda Foley $ 31.13
Total $ 31.13
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 NC WARRANT NO.
John Thomas ALLOWED 20
IN SUM OF $
$ 31.13
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#(TITL AMOUNT
DEPT# ! hereby certify that the attached invoice(s),
0 0 2200-4355300 $ 31.13 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
':�J /�e2/25/201
� 3
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund