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HomeMy WebLinkAbout226339 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 354969 Page 1 of 1 �f ONE CIVIC SQUARE MATTHEW HOFFMAN CHECK AMOUNT: $87.61 CARMEL, INDIANA 46032 4736 HAVEN LAKE RD#B •, .o� INDPLS IN 46280 CHECK NUMBER: 226339 CHECK DATE: 11119/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 851 5023990 87 . 61 OTHER EXPENSES CCOSFto i ##346 CASTLETON . IN 6110 EAST H STREET CASTLETON l IN 46250 MEMBER # 11803166227 E 800176 FRITOLJY6CT 12.39°"' t'. 21611 TURKEY SWISS 29.99—fr E 24533 CRS SAND PLT 29.99 ` 793840 FBRZ UN&HI 8.49 A 994311 8.5 IN PLATE 14.59 A x:10000087917 CPN/DltXIE 2.80- SUBTOTAL _ 92.65 A 7.OX TAX 1 .62 D 9.0% TAX _ 5.40 TOTAL ,Oxm*M� VF 99.67 X:XXXXXXXX-, " SWIPED 11/14/13 10:44' Seq#: 007664 App#: 566034 American Express Resp: AA Tran ID#: 331822671000 Merchant ID 99034611 APPROVED - PURCHASE AMOUNT: $99.67' 0346 201 0000000201 0016 CHANCE .00 COUPONS TENDERED 2.80 TOTAL NUMBER OF ITEMS SOLD = 5 CASHIER: SCO LANE #201 REC# 201 f1 YAK-WAW. 10:44 0346201 0016 201 COMC= f-)(-AF-)TN ! THANK YOU � 3(FOr• Usins COSTCO 3E Self Checkout FIREHOUSE SUBS 1 MRCANTILE BLVD NOnLESVTII..E, IN 46060 (P) 317-773-7333 (F) 317-773-7332 DINE :[N 11/14/2013 11 :09:05 AM Order # 74129 Cashier: Hannah F. 1 Gallon Tea 6.99 1 Gallon Lemonade 6.99 Sub. Total : $13.98 Tax: $1 .26 Total : $15.24 Discount Total : $15.24 $0.00 Cha Card Num XXXXXXXXXXX Terminal : 000804325306 Approval : 525780 Batch Number: 288 Entry Method: S Please take our guest survey for your chance to win $500 in our drawing. For a limited time only, upon completion of the survey you will also receive a code valid for a free 32oz. drink with the purchase of any specialty sub on your next visit to any Firehouse Subs location. Visit WWW.FIREHOUSEFEEDBACK.COM for the survey and official rules. Validation code: VOUCHER NO. WARRANT NO. ALLOWED 20 Matt Hoffman IN SUM OF $ $87.61 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 120-851.00 $72.37 1 hereby certify that the attached invoice(s), or 1120 120-851.00 $15.24 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 NOV 1 201 Fire Chief 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)) Chiefs Roundtable $72.37 Chiefs Roundtable $15.24 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 5-11-10-1.6 120 Clerk-Treasurer