248351 08/1 2/1 5 a"`'F�-qb
\� CITY OF CARMEL, INDIANA VENDOR: 00353214
;1 CHECK AMOUNT: $`•'""•""'9.94•
.�; ® ��• ONE CIVIC SQUARE DAN GRESKAMP
_� CARMEL, INDIANA 46032 C/0 ENGINEERING CHECK NUMBER: 248351
�'RroN'c�'` C/0 ENGINEERING CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 9.94 OTHER MISCELLANOUS
Use Your ;r; .� 2%
BIG CARD 1z;41 REBATE
11
al
H �L
MENARDS — CARMEL
2150 E . G re=yhound
Pas.a
Carmel , IN 46033
KEEP YOUR RECEIPT
RETURN POLICY VARIES BY PRODUCT TYPE
C!nless noted below allowable returns for
Items on this receipt will be in the form
of an in store credit voucher if the
return is done after 11/01/15
If you have iluestions regarding the
charges on your receipt., please
email us at:
CARMfronterdGmenards.com
�� '1111 '1 Ill 111 11 l Illi►11111 111 Ili 11111 l l
Sale Transaction
At'+KING WHITE
'r`r::i3JG 2 14.97 9.94 NT
IAL 9.94
1rjt.,Al. SALE 9.94
;A t1 20.00
!iAGE 10.08-
I' i.AL NUMBER OF ITEMS = 2
SOW NIR���
`i ','NK YOU, YOUR CASHIER, Kathryn
i1 02 7847 08/03/15 10:48AM 0083
t
l -
Prescribed by State Board of Accounts City Fonn No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to bero erl itemized must show: kind of service, where performed, dates service rendered, by whom,
P P Y
rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Dan Greskamp Purchase Order No.
Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
8/3/2015 0 Paint $ 9.94
Total $ 9.94
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.
Dan Greskamp ALLOWED 20
IN SUM OF$
$ 9.94
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0 2200-4239099 $ 9.94 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
8/7/2015
Sig ature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund