HomeMy WebLinkAbout233862 06/18/14 �qq�� CITY OF CARMEL, INDIANA VENDOR: 362627
ii ONE CIVIC SQUARE KURT SHANAYDA CHECK AMOUNT: $********15.49*
s ?a, CARMEL, INDIANA 46032 1206 N BUCKEYE RD CHECK NUMBER: 233862
_9;�TON..E°.`9 MUNCIE IN 47304 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4239099 15.49 OTHER MISCELLANOUS
13090 PETTIGRU DRIVE, CARMEL, IN
PHARMACY: 733-8608 STORE: -
REG#11 TRN#5519 CSHR#0798500 .STR#1367
Helped by: ANITA
ExtraCare Card #: *#*#**##4119
1 DUR D 8PK MN13 8PK 15.49T
SUBTOTAL .15.49
IN 7.0% TAX 1.08 t �_
TOTAL 16.57
16.57 1J
* * * MS
CHANGE .00 �J
' IIIIIIIIIII!I IIIIIIII III 1111
I II II III
2501 3674 1645 5191 15
RETURNS WITH RECEIPT THRU 08/12/2014
JUNE 13, 2014 9:43 AM
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Amount Toward this Reward 12.00
Amount Needed to Earn Reward 18.00
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Kurt Shanayda
IN SUM OF$
c/o ICS Department
$15.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1115 I 42-390.99 $15.49
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
Mo day, June 16, 2014
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
06/16/14 $15.49
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
120
Clerk-Treasurer