HomeMy WebLinkAbout220119 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 00350290 Page 1 of 1
ONE CIVIC SQUARE TERRY CROCKETT
CHECK AMOUNT: $85.79
CARMEL, INDIANA 46032
CHECK NUMBER: 220119
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 85 . 79 EXTERNAL TRAINING TRA
TEA
Jets Carmel
2764 E. 146th Str.
Carmel,IN (317) 815-5555
Delivery
Order #: 16
Phone:, 317-571-2586
Carmel Clay Communication,
31 1 st av nw
City: Carmel
** NEW CUSTOMER
Time: 03.:23pm-04:11 pm
----------
Zone/Alt/Grid:
Driver:
Taken Dtf-Fm: 05/06/13 03:21 pm
Dispatch DtfTm:
Menu Item Cost
----------------------- -------
X Large Square The Jet 10
[$21.99 XLJet1 0 $1.95 Value] 21.99
X Large Square Super Special
119-99XLSupSpec $1.96 Value] 19.99
X Large Square Cheese Pizza
[$14.99BestXL1 T$0,99 Value] 13.00
Sausage, 1.99
X Large Square BBQ Chicken
[18-9
r. 9XLeE3Q $0.97 Value] 18.99
-'>>DEL (9 5:00pm
- ---------------------------------------
Sub-17L: 75.96
Delv. Charge: 2._Q9
Tax- 6.84
Total: 85.79
Due: $86.79
Delivery, InstructiorS *A**'*AAi*
20 Plates and r`Japkins AlsofOrks C011 ET -7-c,�-)
THE DQR ON -r)L-IE WEST SIDE ANDRf"� I
SELL
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dank You ! jp-r,
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))
05/06/13 $85.79
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. WARRANT NO.
ALLOWED 20
Terry Crockett
C/o ICS Department IN SUM OF $
$85.79
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1202 43-430.02 $85.79
I hereby certify that the attached invoice(s), or
I 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
Wednesday, M y-1"5, 2013
/A--
Directo , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund