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Home My WebLink About228559 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 354969 Page 1 of 1 ONE CIVIC SQUARE MATTHEW HOFFMAN CARMEL, INDIANA 46032 4736 HAVEN LAKE RD#B CHECK AMOUNT: $30.00 '.' INDPLS IN 46280 CHECK NUMBER: 228559 CHECK DATE: 1/28/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343004 30 . 00 TRAVEL PER DIEMS P-IZZA HUT ;. ****CARR'Y_OUT**** V * DUE NOW * rn *� DUE: 01/16/14 at 11 :15AM ** In Ticket # 00006 ENTERED BY e� KATHRYN 'mac 028451 01/16/14 10:57AM ORA �311)490-900� 01 1 Large 10.00 Hand toss Cheese 44 Pepperoni 02 1 Large 10.00 Hand toss Cheese PorK 03 1 Large 10.00 Hand toss Meat Lvr ' Subtotal 30.00 SALES TAX 2.70 Balance Due 32.70 Amt Tendered Credit Card 32.70 C. Change 0.00 Taken at 10:57AM Pick Up at 11 :15AM x h12 in' it Graat Thank You r CHANCE to WIN ! - $1000-` Stora No, 078451 (see back for details) x n 'A 0 4 one of our OTHER GREAT PRIZES with a combined WE CG LVOUg c�0 �Oo Receive 1 chance to win$1,000 daily by calling 1-877-440-9091 For Contest rules,eligibility,Sweepstakes period and PREVIOUS WINNERS please visit'www.tellpizzahut.com. Diganos en espanol,Lcomo to estamos atendiendo? s 1 — — - 2 — — - 3 — — - 4 — — - 5 in Strongly Strongly _ Disagree Agree *** KEEP THIS RECEIPT TO ENTER*** Must be of legal age to enter.Void where prohibited.No purchase/survey required to enter.Sweepstakes sponsored by Empathica,Inc.across multiple international clients.Skill testing question may be required in - jurisdictions outside the U.S. ' r TELL MS ABOUT YOUR VUSBT AND receive 10 CHANCES to WON 8%000 C�La�C� MOLL PLUS .:. a CHANCE to INSTANTLY WIN one of our OTHER GREAT PRIZES with a combined wagme ofd 8`00300 M `'E[ LV20o 00 400 www.t(s � , o zz° IJ��tt��,, ut.com Receive 1 chance to win$1,000 daily by calling 1-877-440-9091 For Contest rules,eligibility,Sweepstakes period and PREVIOUS WINNERS please visit.www.tellpizzahut.com. Diganos en espanol,icomo to estamos atendiendo? =Disagree — — 3 — — - 4 — — - 5 Strongly Agree *** KEEP THIS RECEIPT TO ENTER*** Must be of legal age to enter.Void where prohibited.No purchase/survey required to enter.Sweepstakes sponsored by Empathica,Inc.across multiple international clients.Skill testing question may be required in jurisdictions outside the U.S. o y�2"gyp p n p• - , '%Bouy YOUR M0SO4 QfnIDD receive 10 CHANCES to Mom § 0000 PLUS a CHANCE to INSTANTLY WIN one of our OTHER GREAT PRIZES With a combined M OMCg? 0 9%500 VOUCHER NO. WARRANT NO. ALLOWED 20 Matt Hoffman IN SUM OF $ $30.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members r 1120 I I $30.00 1 hereby certify that the attached invoice(s), or �} 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 JAN 2 7 2014 � 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 qn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by Athom, 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)) Safety Officers $30.00 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