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
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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