251056 11/04/15 '4/" �`'F� CITY OF CARMEL, INDIANA VENDOR: 360860
i { ONE CIVIC SQUARE CRYSTAL EDMONDSON CHECK AMOUNT: $********19.60*
?�; CARMEL, INDIANA 46032 C/O STREET CHECK NUMBER: 251056
M„-oN-�. CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4342100 REIMB 19.60 POSTAGE
CVS/pharmacy�
.13090 PETTIGRU DRIVE
CARMEL, IN 46032
317.733.8608
REG#03 TRN#0842 CSHR#0501609 STR#1367
Helped by; RANA
1 FOREVER STAMPS EACH�9.80N
1 FOREVER STAMPS EACH`- 9:80N
2 ITEMS
TOTAL. 19.60 _ ..
19.60
Ms
CHANGE .00
IIIIIIIIIII I I IIIII�I�I.IIIIIII I ILII�II ,
2501 3675 2920 8420 33
RETURNS WITH RECEIPT THRU 12/18/2015
OCTOBER 19, 2015 8.;06 AM,
GET YOUR CVS EXTRACARE CARD
THANK YOU, SHOP 24 HOURS AT CVS.COM
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crystal Edmondson
IN SUM OF$
C/O Street Department
ti
$19.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
2201 43-421.00 $19.60 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
Tia sda ctober 29, 2015
Ste66t.e�Wj &er
Title
Cost distribution ledger classification if j
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))
10/19/15 $19.60
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