225884 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 356917 Page 1 of 1
f ONE CIVIC SQUARE MELANIE LENTZ CHECK AMOUNT: $35.39
CARMEL, INDIANA 46032 7817 CASTLE LANE
�, an ion INDPLS IN 46256 CHECK NUMBER: 225884
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359000 35 . 39 SPECIAL PROJECTS
2150 E: lei 6T.H�STREET V U�o (n
CARMEL, IN 46032
317-844-9000
CAAIDSEVRYDAY SPECIAL CROWN
rAl-
CARD SYMPTHY CR0WN .;,720473238037 1 .99 T
CARD SYMPTHY CROI'!N r, 720473139907 1 ,99 T
CARD SYMPTHY CR0CA 720473117646 1 .99 T ��r
CARD SYMPTHY CROWN 720473132311 1 ,99 T
CARD SYMPTHY CR0WN 720473226614.., 2.99 T
CARDQSY8P.T:HY CROWN 070000980497 99 T
SUBTOTAL $17.43
Sales Tax $1 .22
TOTAL '`'S1A'1 $18.65
$18.65
************ L C013 .
PURCHASD& °�` '
EXPIRY: *�rl** SWIPED
RUTH# 004544
ITEMS 7
10/25/2013 13:39 0039 04 3916 1620
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- 4"+a^OPEN o 10 - 8 MON THRU-IS101""LL
OPEN NOON TO 5 ON SUNDAY
PLEASE KEEP- YOUR RECEIPT
FOR REFUNDS;rDU�EXCHANGES
TLIAii� ;OU & Luft U!ITN
Fz t
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Cro
Great foodl .
Low prices. .
t�
1217 S. RANGELINE RD.
317-896-9818
YOUR CASHIER WAS JANENt. Cyt _ r
DELI CKN 5.99 T 1/\1 rlI/�
DELI CKN 5.99 T ' '�V l�' L
W/HM MS POTR 2.99 F
KGHM MAC CFIS 2.99 F -
KGHW ROLLS 3.99 F
BRHD SALAD F fi r
IiROGER PLUS CUSTOMER i:******9753
TAX 1 .08
* BALANCE 28.52
REF#: 00000x3980
REFC: SE: 28
PURCHASE: 28.52
CASHBACK: 0.00
TOTAL: 28.52
DEBIT 28.52 � 7e C •� r Q e C 5
rNANGE 0.00 �✓�✓✓ J
TOTAL N.,'•.: 6
10/21/1
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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))
10/21/13 Receipt $21.45
10/25/13 Receipt $13.94
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
Melanie Lentz
IN SUM OF $
One Civic Square
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 Receipt 43-590.00 $21.45 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1203 Receipt 43-590.00 $13.94
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, November 01, 2013
Director, Co unity Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund