240819 01/07/15 G4q
'R. CITY OF CARMEL, INDIANA VENDOR: 363532
ONE CIVIC SQUARE DENISE SNYDER CHECK AMOUNT: $
? CARMEL, INDIANA 46032 CHECK NUMBER: 240819
-M<ron�o CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 13.98 OTHER MISCELLANOUS
1120 4342100 98.00 POSTAGE
CVS/pharmacy"'
1421 S. RANGE LINE RD, CARMEL, IN
(317) 844-2775
RI=61104 TRN#8082 CSHR40318629 STR#8674
Helped by: CHRTSIAL
ExtraCare Card #: ********9381
1 SNOWFLAKE KRAFT BX 4329 2.50T SAVED .49
2.99 EACH 2 OR MORE @ 2.50 FACH
I RED CHEVRON BOX 4330 2.50T SAVED .49
2.99 EACH 2 OR MORE @ 2.50 EACH
1 HAPPY HOLIDAYS BOX 1100 2.50T SAVED .49
2.99 EACH 2 OR MORE @ 2.50 EACH
1 GREEN SANTA BOX 1119 2.50T SAVED .99
2.99 EACH 2 OR MORE @ 2.50 EACH
1 30C RD/GR XM TISSU 3010 2.991'
1 HLDY WHMSY AST PK 2809 3.001' SAVED .99
3.99 EACH 2 OR MORE @ 3.00 EACH
1 HLDY WHMSY AST PK 2809 3.001 SAVED .99
00 EACH
1 HM SFH TRAD PDQ 1 6026 6.99T k' �
1 FIM SFH TRAD PDQ 1 6026 6.991' �a�-oS.
9ITEMS
SUBTOTAL 32.97
IN 7.0TAX 2.31
TOTAL 35.28
VISA 35.28
************6224 MS
CHANGE .00
1111IN III III I II I II 11116 ��� II
2508 6744 3538 0820 43
RETURNS WITH RECEIPT THRU 02/17/2015
DECEMBER 19, 2014 12:52 PM
TRIP SUMMARY:
Today You Saved 3.94
Savings Value 11
To ensure you get all the offers and
information available s ecifically
for you, pdate your �xiraCare
informuation at either
CVS.com or call 1-800-SHOP-CVS.
THANK YOU. OPEN 24 HOURS 7 DAYS A WEEK
ExtraCare Card balances as of 12/16
Winter 2015 Spending 31 .56
This Week's
Extra Buck Offers: Balance:
Cosmetics, Earn up to 10 EB
Amount Toward this Reward 19.02
Spend 5.98 More, Get 5.00 ExtraBucks a-
Sriend 20.98 More, Get 10.00 ExtraBucks
Conair, Spend 10 Get 5 EB
Amount Toward this Reward 4.99
Amount Needed to Earn Reward 5.01
CARMEL RETAIL STORE:
CARMEL, Indiana
460329998
1740350814-0093
12/19/2014 (800)275-8777 11 :50:35 AM
— Sales Receipt =
Product Sale Unit Final
Description Qty PriCE! Price
(Forever) 3 $9.80 $29.40
Gingerbread
Houses PSA
Bklt/20
(Forever) 2 $9.80 $19.60
Rudolph the
Red-Nosed
Reindeer
Bklt/20
(Forever) 3 $9.80 $29.40
Christmas
Magi PSA
Bklt/20
(Forever) 1 $9.80 $9.80
Gossaert
Madonna and
Child PSA
BKLT/20
(Forever) 1. $9.80 $9.80
Gossaert
Madonna and
Child PSA
BKLT/20
Total : $98.00
Paid by:
VISA $98.00
Account #: XXXXXXXXXXXX6224
Approval #: 019105
Transaction #: 762
23903091171
BRIGHTEN SOMEONE'S MAILBOX. Greeting
cards available for purchase at
select Post Offices.
In a hurry? Self-service kiosks
offer quick and easy check:-out. Any
Retail Associate can show you how.
:EAAHrreerwtlwr�sn.�..:w.....nw _�_
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))
$98.00
$13.98
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Denise Snyder
IN SUM OF $
$111.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-421.00 $98.00 1 hereby certify that the attached invoice(s), or
1120 42-390.99 $13.98 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
A — tii 2015
y
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund