220575 06/04/2013 a-- CITY OF CARMEL, INDIANA VENDOR: 00353420 Page 1 of 1
' Mt
ONE CIVIC SQUARE GEORGE W DAVIS
CARMEL, INDIANA 46032 3854 CORNWALLIS LANE CHECK AMOUNT: $16.81
CARMEL IN 46032 CHECK NUMBER: 220575
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 16 . 81 TRAVEL & LODGING
Panera Bread
' Cafe 1658
Carmel , IN 46032
Phone: 317-587-1429
5/20/2013 11:55:31 AM
Check Number: 401973 Cashier: Can ine
1. You Pick Two 7.99
1 11/2 Spinach Power
1 Cup Sumr Corn Chwdr
1 Md Soda 1.79
1 No Meal Upgrade
1 ***CHIPS
1 CUP.CRM TOM 3.99
1 Hot Tea 1.65
1 No Meal Upgrad
1 Bag Wgrain
Sub otal \ 1 .
Ta 1.
To al .8
Ca h 20.00
Cha e 3.19
View your Account at ypanera.com
MyPanera Member: xxxxxxxxxxxx31282
MyPanera Offers Earned:
TELL US-HOW WE ARE DOING
AND YOU MAY WIN $2000
GO TO WWW.PANERALISTENS.COM
OR CALL 1-800-699-0130
WITHIN 48 HOURS/ MONTHLY DRAWING
RULES AT WWW.PANERALISTENS.COM
HERE
Your Order Number is: 473
r
Customer / Pager: George 36
VOUCHER NO. WARRANT NO.
ALLOWED 20
George W. Davis
IN SUM OF $
3854 Cornwallis Lane
Carmel, IN 46032
$16.81
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-430.03 $16.81
I hereby certify that the attached invoice(s), or
I 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
Thursday, May 23, 2013
Chief of Police
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))
05/20/13 suicide prevention program $16.81
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