309386 03/24/17 � CAS
y CITY OF CARMEL, INDIANA VENDOR: 368968
'` CHECK AMOUNT: $"*'*'""23.92*
� ONE CIVIC SQUARE KELLI PRADER
,� ?�; CARMEL, INDIANA 46032 3920 VERDURE LANE CHECK NUMBER: 309386
+,y_ ZIONSVILLE IN 460» CHECK DATE: 03/24/17
�roN�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359033 REIMB 23.92 MAYOR'S YOUTH COUNCIL
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EMPLOYEE REIMBURSEMENT
�Q Sales tax is not reimbursable
NAME: K/e I I ( Ydt il(r
ADDRESS: D KYR Ah ) yJ
TOTAL$AMOUNT OF RECEIPT(S)ON THIS P GE:
PURPOSE OF EXPENSE: G �) yh�h
Use separate sheet for dJ6Brent purposes or events, as account coding may vary
AFFIX ORIGINAL RECEIPT(S) BELOW OR ATTACH,IF RECEIPT IS FULL PAGE
r
_, PIACI
Official Grocery Store of the Indiana Pa
1217 S. RANGELINE RD.
317-846-4818
Your cashier was BRYAN
COB COOKIE PC 2.99 F
SC KROGER SAVINGS 1.00
COB COOKIE PC 2.99 F
SC KROGER SAVINGS 1.00
KROGER PLUS CUSTOMER »»**»»»4180
COB COOKIE PC 2.99 F
SC KROGER SAVINGS 1.00
COB COOKIE PC 2..99 F
Sc KROGER SAVINGS 1.00
COB COOKIE PC 2.99 F
SC KROGER SAVINGS 1.00
**ss BALANCE 14.95
CARMEL IN 46032
AMERICAN EXPRESS Purchase
»»*»»»»»»»*;1019 - C
REF#: 85093` TOTAL: 14.95
AID: A000000025010801
TC: 8CA597C35B2E7964
AMEX 14.95
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD = 5
KROGER SAVINGS i 5.00
TOTAL SAVINGS (25 $ 5.00
03/13/17 01:43pm 959 13 133 139
MARCH FUEL POINTS
REDEEM 10OPTS TO SAVE .10 PER GAL.
ON ONE PURCHASE OF UP TO 35 GAL.
SAVE UP TO 911 PER GAL AT KROGER OR
.10 PER GAL. AT SHELL ON 1 FILL-UP.
FUEL POINTi THIS ORDER = 15
FUEL POINT3 THIS MONTH = 50
THIS MONTHS POINTS EXPIRE 4/30/17.
VISIT WWW.KFIOGER.COM/FUEL FOR DETAILS
With Our Low Prices, You Saved
$5. 00
Nnna� l i!.l Sail og" $til 91
11,:W tilt 100 Au111 V Touay,!
b.r )yrr.ruin
EMPLOYEE REIMBURSEMENT
Sales tax is not reimbursable
NAME: 1 I i der ,
ADDRESS: P1'- Y-e
TOTAL$AMOUNT OF RECEIPTS)ON THIS PAGE:
PURPOSE OF EXPENSE: a
Use sep ate sheet for different purposes or events, as account coding may vary
AFFIX ORIGINAL RECEIPT(S) BELOW OR ATTACH,IF RECEIPT IS FULL PAGE
trocier_ _ PACE
Official Grocery Store of the Indiana Pa
1217 S. RANGELINE RD.
317-846-4818
Your cashier was JANENE
BFG CAKES PC 2.99 F
Sc KROGER SAVINGS 1.00
BFG CAKES PC 2.99 F
SC KROGER SAVINGS 1.00
BFG CAKES PC 2.99 F
Sc KROGER SAVINGS 1.00
KROGER PLUS CUSTOMER *******4180
**** BALANCE 8. 97
CARMEL IN 46032
AMERICAN EXPRESS Purchase
***********2019 - C
REFA: 89385:1 TOTAL: 8.97
AID: AO00000025010801
TC: D11057Eg!1D5B60FD
AMEX 8.97
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD = 3
KROGER SAVINGS $ 3.00
TOTAL SAVINGS (25 $ 3.00
03/21/17 11:57am 959 13 37 128
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Oate: 03/21,17
Time: 11:57am
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