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218080 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1 ONE CIVIC SQUARE NANCY HECK CARMEL, INDIANA 46032 CHECK AMOUNT: $69.53 CHECK NUMBER: 218080 CHECK DATE: 3/1312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359300 69 . 53 ECONOMIC DEVELOPMENT Ll Bub's Burgers & Ice Cream Bub's Burgers & Ice Cream www.bubsburgersandicecream.com www.bubsburgersandicecream.com �J ✓✓✓ 210 W.'Main St. 210 W. Main St, Carmel, IN 46032 Carmel, IN 46032 317-706-2827 317-706-2827 Server: Jeremy 02/26/2013 Server: Jeremy DOB: 02/26/2013 Table 13/1 12:10 PM 12:15 PM 02/26/2013 Guests: 4 Tablr. 13/1 1110002 Order Type: ORDER SALE (( }} The Big Ugly 18.69 2097154 Steak & Egg Settle for 7.49 Card #XXXXXXXXXXX) Less Ugly Magnetic card present: HECK NANCY S Small Sweet Potato Waffle 2.67 Card Entry Method: S Marshmallow 150 Shake 4.35 Approval : 026211 The Settle for Less Ugly (2 15.99) 11 ,98 ` ` �\n Dc c� OV Diet Coke 2.05 Amount: $ 57.53 J Large Fries 2.50 Diet Coke 2.05 + Tip: --- .�°2-0(9 �j� �u�s Cherry Syrup 0.50 = Total : __.�_9�_53 Complete Subtotal 52.78 Cti a(N ary o S. Subtotal 5238 I agree to pay the above ^� 0��5+-e-j �l,/) Tax 4.75 total amount according to the card issuer agreement. Total 57.53 X Ba i aricue Dc_ie 57 . 53 Shop Bub's Online ******Guest's Copy****** HAVE A BUBTASTIC DAY! Z�zsl, � VOUCHER NO. WARRANT NO. ALLOWED 20 Nancy Heck IN SUM OF $ 1326 Cool Creek Drive Carmel, IN 46033 $69.53 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1203 Receipt I 43-593.00 I $69.53 I hereby certify that the attached invoice(s), or 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 Monday, March 11, 2013 i irector, Community Relations/Economic evelopment P 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)) 02/26/13 Receipt $69.53 I 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