251687 11/18/15 I
CITY OF CARMEL, INDIANA VENDOR: 00350363
ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: S*****`**17.98*(9,
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK NUMBER: 251687
C/O MAYOR'S OFFICE CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 RECEIPT 17.98 PROMOTIONAL FUNDS
�Flc
CVS/pharmacy
1121 S. RANGE LINE RD, CARMEL, IN
(317 ) 899-2775
I RNA 3730 CSHR41 011807 SI R486 1-1
bu CHANTEL
Ex1raCare Card #: ##*#***0456
r+I+RS VARTITY BAG 1 .9 3.998 &OAU °.W
1 LIARS VARTITY BAG 17.9 3.99B SAVED 4 1_�3
TAX .00
ITEMS
7.98
TOTAL. (
CASH 20.00
CHANGE 12.02
III
II I I I i II III III it I I II II I II III I III
2508 6745 3063 7300 43
RETURNS WITH RECEIPT 1HRU 01/01/2016
1OVEMBER 2, 2015 3:11 PM
TRIP SUMMARY:
!qday You Saved 8 (+ ;
Savings Value 50,
I IirirJK YOU. OPEN 24 HOURS 7 DAYS A WI .
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-:Eyld t'OL rla
C 1 rc I(,, Centre Mall
Indianapolis, IN
Computer Number: 12
173 Id 11172
11'89c;-jjllon Number: 229004
O.J: 11/04/2015 1-":14
1!/04/2015 21:57
955906 DISPE-user 941
World Wonders
A: Arf;a I
I Fee: Dall�l LR
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10.oc
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$ 10.00
i o la I Pa 1 ci: 10.00
Ronk You
Offii�Soni Packing
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))
11/02/15 Receipt $7.98
11/04/15 Receipt $10.00
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
Petty Cash - Mayor Brainard
IN SUM OF $
One Civic Square
Carmel, IN 46032
$17.98
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1160 Receipt 43-551.00 $7.98 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1160 Receipt 43-551.00 $10.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, November 16, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund