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Home My WebLink About230574 03/26/14 i tAA_ aj "F CITY OF CARMEL, INDIANA VENDOR: 241253 ® ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $ *******78.90* 4 CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 230574 M,;o„ C/O Docs CHECK DATE: 03/26/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4230200 15.28 OFFICE SUPPLIES 1192 4231400 25.67 GASOLINE 1192 4343001 18.00 TRAVEL FEES & EXPENSE 1192 4355100 19.95 PROMOTIONAL FUNDS 1 �r W./15/14 : 4 I C 15 Txn# Charge Amount: $ 15.00 Entry Type e automatic (Account Number: XXXXXXXXXiXK ExpiraLiol. Date: XX/XX Approval No.: 226040 Reference No.: 40151940248B I AGREE TO PAY THE ABOVE TOTAL I AL ACCORDING TO MY CARD HOLDERS AGWE ME NT Signatu" r n-- ------ --- -- THANK YOU PLEASE COME AGAIN U S -3 WELGUME To Denison Parking 327 N Illinois PLEASE KEEP THIS TICKET WITH YOU Entered/Arriuee: 21114/111/22 118:S1 Ticket/Billet#:68955148 Dur/Duree:1:36:56 Paid On/Paye Le: 21114/111/22 111:28 Paid/Paye:$ 6.1111 Original Fee:$ 6_1111 CST:$ 11.1111 PST:$ 11.1111 Channe S 11.1111 SC:$ 11.1111 Merchant ID: Swiped UISA Seq# 146949759 11081111 Purchase 14/111/22 111:24:46 Auth# 1116222 RPPROUED THANK YOU! RICKERS BP #44 1850 E= 151ST STREET CARMEL IN 46033 317-�66-9739 8832982 DATE 03/16/14 15:08 PUMP # 02 - PRODUCT: UNLD GALLONS: 2.869 PRICE/G: $ 3.719 FUEL SALE $ 10.67 XXXXXXXXXXXX_._ Futh #: 360842 Ref: 42692031 Resp Code: 000 Stan: 06704268501 SITE ID: 8832982 Earn rebates with BP Visa Take application and App 1,; Toda.g GE=T PUMPED! SAVE UP to 10 cents per gallon. Visit RickersRewards.ccm Today! Tf fr1cle Centre Mall InlianaDOliS, IN Fee Computer Number:- 13 CasiIier: Jewel Id 9169 Transaction Number: 72431 Entered: 02/26/2014 12:44 Exited: 02/26/2014 15:18 Ticket 942616, Dispenser #45 L.ot: Court St Area: Area 2 Rate: Daily Rate 12-2012 Parking Fee: $ 12.00 Total Fee: $ 12.00 A $ 12_.00 Credit Card Nuiiiber': ***** ***** Total Paid: $ 12.00 Thank You Denison Parking OO51-OBERERS FLOWERS RhiEL (317)575-1197 12761 OLD MERIDIAN ST CARMEL IN 46032 s Reg: PO S6 pos006 Trans: 02201857 Clrk: BRITTNEY B. Date: 021118/2014 Oper: BRITTNEY B. Time: 10:08:46 EMAIL 1 $19.95 Sales Tax:---=- fi R0 Total Amt: _$2.1=35 * + Tendering details *** Order Total Is: $21.35 02/18/2014 Credit Card $21.35 - *** Balance Remaining *** $.00 ---------- Credit Card Information --- --- Cardholder Name: LISA L Credit Cd No: Telephone No: Credit Card Tot: $21.35 ( Customer ' s Copy ) Ilk #15334 1424 S RANGELINE RD CARMEL, IN 46032 317-571-1176 221 0583 0021 03/05/2014 11 :16 AM ENERGIZER MAX BATTERY AA 03980001132 A SUBTOTAL 5.29 SALES TAX A=i .0% TOTAL 5,66 CASH 6.00 CHANGE 0.34 THANK YOU FOR SHOPPING AT WALGREENS YOU COULD HAVE SAVED BY USING YOUR BALANCE REWARDS CARD TODAY! RESTRICTIONS APPLY, SEE PROGRAM RULES FOR DETAILS. DID YOU KNOW THAT YOU CAN EARN POINTS ON HUNDREDS OF ITEMS IN-STORE AND ONLINE? SEE OUR WEEKLY AD FOR MORE INFORMATION. RESTRICTIONS APPLY. SEE PROGRAM RULES FOR DETAILS. PLEASE GO TO WALGREENS.COM/BALANCE. RFN# 1533-4210-5833-1403-0503 l i lil ill!,!ill ISI 111II 111111 iII I IN 1111111111 ililill Iilli I ilill I!111111111 III balance` rewards How a re ' we do i n?? Enter our monthly sweepstakes for $3 , 000 cash Visit WWW . WAGCARES . 00H or call toll free 1 -800-658- 1584 within 72 hours to take a short survey about this Walgreens visit SURVEY# 1533-4210-583 PASSWORD 3140-3050-321 For contestrules see store or WWW.WAGCA�ES.COM 3iE=�v�m`dm'a Part D plans. 0 a«a p.;v x Ask for a FREE personalized report that M S— o d� can help you find a plan that's best for you. �•'L-'a'c•o c a3 M.w= "�� Monthly prescription? Ey=�o 3i+VK MH _Nom3m._o�3o=0 Ask aboutAuto Refills. m oE,R.: `Y cyQnmuomm m�nw.t..mm.a —s 1-800-WALGREENS 'O Ww O.-I M �m:5%E— x ,t I E „m (1-800-925-4733) 41� Ev a 0 c a Prescription instructions available in .' E„-a•3=3 at s many different languages. j .51 5a >t�d Just ask a pharmacist. N Walgreens accepts Medicare Part B Assignment v mmmmx for ALL brands of diabetes testing supplies. N�6'Z=•�-�C�9 m C'y a 6 u«.acom�m'^c r Drop off photos without leaving home. -ra 50 3 r x Upload to Wal reens.com EWa =a p 9 «„o m3 M«min`o Pick up at ANY Walgreens nationwide! m y� a 09 j^E 3'vrwm+'• /�/�/ yF�>8aa�� cy�am u?ym 1-800-WALGREENS m:5t�9y�„�, (1-800-925-4733) a� v m vcm�naouv w u d ocam=t c E We have the most 24-HOUR E L d L N 3 p n W pharmacies nationwide. m,a. mi c2•;u,-�»vr -Fu0Nn`a+V" TM „E„ m m m,. Check into ExpressPay. 3 m 2_ C,•m"a Prescriptions read and automatically billed �o«admmv R P Y Y n 0.;-c u o 3 i s to our credit card which is secure) filed. °-a;w a n'`•o 00 No receipts to sign.Just pick up and go. � com9 mm c n my�:s -mr w5�L m3'�yx dy I"�09= Digital prints FAST at Walgreens. =Hom9m.._t90 u •L-•` 2 g E O m oamE0 `« omn m m�int u9 ma s >o. We Refill Printer Cartridges. m"a=or Z Z o E E Ask your photo specialist or go to m t o E9 a�_N��, Walgreens.com for the location nearest you. u E�aNya- �y��`NmE,�a Tw C as y a y y Every Walgreens has your prescription -' EL records-for easy'refills ar N;okay near or far from home. a �v �n=c-�i=wumi iv 3 E-'$9 a Rx refills at Walgreens.com -.0 C 9 a 10�.a�''Omw•mx -m��3 n„ Switch your prescription m c•-y an "rdc`oy�m'^c 5•;_,.,„„„a m to Walgreens.All we need is the information n mw 0« - E oas >m r on your current pre`kcription container. 1 V s 91, #03231 1215 S RANGE LINE RD CARMEL, IN 46032 317-fi71-1176 286 6079 0022 01/10/2014 11 :20 AM WALL EASYSTORE USB FLSH DRIVE 8GB 61007465312 ;1 9.99 SAL ,- REGULAR PRICE 19.99 REWARDS SAVINGS 10.00 TOTAL Co. 9.99 CASH 20.00 CHANGE 10.01 BALANCE REWARDS SAVINGS 10.00 THANK YOU FOR SHDPPING AT WALGREENS REDEEM AT THE REGISTER WITH AS F1=W AS 5000 POINTS. RESTRICTIONS APPLY SEE PROGRAM RULES FOR DETAILS. PLEASE GO TO WALGREENS.COM/BALANCE, RFN#0323p-1226-0795-1401-p1003 tt balance` rew®rds TOTAL. SA'VI NGS $1 0 . 00 SAVINGS . VA,LUE FiO% BALANCE REWARDS ACCT # 00000964 Hc)w a re we dc)i ng? Enter our monthly sweepstakes for $3 , OCIO caE;h Visit 4JWW . WAGCARES . COM or call toll free 1 -800-658- 1584 within 72 hours to take a short survey about this Walgreens visit SURVEY# 0323- 1226-070 PASSWORD 5140- 1100-321 For contest rules see store or WWW.WA(1CMES,COM E t t N 3;'�n d Walgreens accepts all major Medicare a ° Part D plans. c 0 ..° , �d�W Ask for a FREE personalized report that x a 5 a� can help you find a plan that's best for you. t-Z L and O y jO ip�C Monthly prescription? E En`-'St uu rna"'o:26 Ask about Auto Refills. =a`o.3 ..._t9mO y 3Nco.-occ rwg" " II `oc`0E3'vta++' cy�aw u�ym yo,6aoy�'i�« o .629 1-800-WALGREENS (1-800-925-4733) °L E�dm`v'u Prescription instructions available in many different languages. � a t Egya°i3=,3'ac a E >t 2 Just ask a pharmacist. d,a yc�„oa Walgreens accepts 3 d Medicare Part B Assignment for ALL brands of diabetes testing supplies. m c'y 3c=Z ircE E_,0„M.�„ Drop off photos without leaving home. 0 a �0 a3= x Upload to Walgreens.com E�o'c«>m� a rr 6 29 °�= Pick u at ANY Walgreens nationwide! _mom3m«._t90 P 9 d nY �3Ncm ,:oce y5 >8aa,E 5 =y-�O W u m d N .ma 1 800 WALGREENS t w (1-800-925-4733) op �- o a',ayv'-3° �x°Tp`OpE�T y�vcdu'"i22uv We have themost24-HOUR _—n pharmacies nationwide. ,Ent.~.t u3i3°� iu d�a��E w>rcai a+oa «'cc"'0� 3>Eua Check infoEXpreSSPay. a a d;_ mPrescriptions ready and automatically billed a� mwx d o s—z°;-3 ars to your credit card which is securely filed. urin3ctltc 8Lv,-tc,uv Cv9 no` No receipts to sign.Just pick up and go. myc�'o�3=u� - aw! Digital prinfs FASTat Walgreens. 25 0 ai w EV "O E O3ddr Owl O C.t T°N6�� cy�o•=u$yar snow > We Refill Printer Cartridges. s.� �W-O . d mar a Nw�M,4Ask your photo specialist or go to ;L«w E I w 0 1 N Walgreens corn for the location nearest you. �ywi.�NmEga a`o a2 y a«d y Every Walgreens has your prescription _ =v d 3 3 6r Q records-for easy refills ma mho CUdrE„> �°= near or far from home. w�a �..01..cc ion n—�+ d N N L 3 >g „�a RXrefills at Wa/greens.com f0v_'24'_`o�amu VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash DOCS IN SUM OF $ One Civic Square Carmel, IN 46032 $78.90 I ON ACCOUNT OF APPROPRIATION FOR i Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 02201857 43-551.00 $19.95 I hereby certify that the attached invoice(s), or bill(s) is (are) trde and correct and that the 1192 42-302.00 $15.28 materials or services itemized thereon for 1192 43-430.01 $18.00 which charge is made were ordered and 1192 42-314.00 $25.67 received except Monday, March 24, 2014 Director 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)) 02/18/14 02201857 Fowers=- Daren MIL $19.95 03/24/14 $15.28 03/24/14 $18.00 03/24/14 $25.67 I 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