HomeMy WebLinkAbout234089 06/25/14 w..4+.v
(" �� CITY OF CARMEL, INDIANA VENDOR: 241254
' . CHECK AMOUNT: $*********9.39*
ONE CIVIC SQUARE PETTY CASH
s9 � CARMEL, INDIANA 46032 C/0 CARMEL POLICE DEPT CHECK NUMBER: 234089
_b�ireN`�' C/0 CARMEL POLICE DE CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 9.39 OTHER MISCELLANOUS
CVS/pharmacy'
1421 S. RANGE. LINE RD, CARMEL, IN
(317) 844-2775
REG1t02 TRN48923 CSHRI#1143959 STR118674
Helped bu: GRACE
Extr6Care Card B: *******#3911
F 1 CVS COTTON GLOVES 2PR 4.99T
9.93 EM OR MDRE R 50 Et Y I
M 50C 391T
9.39 2 DR Pti� xC: g.� kAl:li
1 ,� NE MINT PST 4 OZ 6.29�T
1 CVS COUPON 5.00 - M. CI';lb'(RJ
1 CVS COUPON 5.00 - CVS COl/'C4V
3 ITEMS
SUBTOTAL 600
IN 7.Oi TAX'
TOTAL
DEBIT
************6281
CHANGE
`2508 6744 1148 9230 22
RETURNS WITH RECEIPT THRU 06/23/2014
APRIL 29, 2014 10:46 AM
TRIP SUMMARY:
Today You Saved 10.00
Savings Value 48
F=FLEXIBLE SPENDING ACCT SUMMARY (FSA)
Health Care Eligible" Total 5.34
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF$
3 Civic Square
Carmel, IN 46032
$9.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-390.99 $9.39 I 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
Friday, June 20, 2014
Chief of Police
1 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))
06/19/14 Vinyl Gloves $9.39
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