HomeMy WebLinkAbout249270 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 369820
d it ONE CIVIC SQUARE KAREN GOULD CHECK AMOUNT: $********19.34*
�._ ? CARMEL, INDIANA 46032 2436 HOPWOOD DRIVE CHECK NUMBER: 249270
+,;,__���` CARMEL IN 46032 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359000 19.34 SPECIAL PROJECTS
Invoice
Date: 8/25/2015
To: City of Carmel, Dept. of Community Relations& Economic Development
From: Karen Gould, Carmel-Xiangyang Sister City Committee
Re: Reimbursement of expense
Please reimburse Karen Gould $19.34(receipt included)for the cost of breakfast for the students from
Xiangyang, China on August 25, 2015. Please make check payable to "Karen Gould" and send to the
following address:
Karen Gould
2436 Hopwood Drive
Carmel, IN 46032
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1424•West Carmel Dr.
Carmel, IN 46032-#130
;'3'L 7)573 8300 rneijet.com
H-w Meijer Team appreciates your business
08/25/15
Your fast and friendly checkout was
provided by RICHARD
METJEI� SAVINGS
SPECIALS 2.30
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t.;1-110CI-RY
II%'r01630 DONUTS 3.49 F
•112'vD99974 DONUTS 3.49 F
•112'1J09975 DONUT HOLF`.i 3.69 1-
-11,,5016543 MTNI f3F,GFl_.`i
was 2.99 now 2.69, f
-1r1`,JD30569 ORANGE JUICE
2 9 2.99
was 7.98 now 5.98, F
10TAI_
TOTAL TAX .00
TOTAL 19.34
PAYMENTS
Electronic Check TFNDER 19.34
NUMBL1t OF 1 1 LM",) 6
S047 TAX EXEMPT SALES AFFIDAVIT
rev 0406
NAME AND ADDRESS OF BUSINESS/ORGANIZATION:
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GOVERNMENT ❑ INDUSTRIAL PROCESSING
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RETURN FEE AMOUNT 20.00
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Tx:228 Op:1049783 Tm:15 St:130 21:11:56
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))
08/25/15 Invoice $19.34
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
Karen Gould
IN SUM OF $
2436 Hopwood Drive
Carmel, IN 46032
$19.34
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1203 Invoice 43-590.00 $19.34
I hereby certify that the attached invoice(s), or
I I
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, Septemb r 04, 2015
Director, Community elations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund