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314683 08/11/17
a"�t��y •� CITY OF CARMEL, INDIANA VENDOR: 358941 ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUQkjjCK AMOUNT: $.....***16.01. so CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 314683 '*„oN� CHECK DATE: 08/11/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 CVS 16.01 FOOD & BEVERAGES 0 0 < « S § 7 0 O k E ] ¥ # 2 Q n i0 # z \ 0 m ? k 2 CL k 0 2 CO t 0 / g 0 § § k q .69 0 D « k O T p T 0 _ X20 q m \ § § E q 0 0 m A ^ ® / > -n f m 0 clO 2 z c 2 > -n f i » 0 c m | $ % § � ® 6 / a E g 9 - 2 r- a % 0 [ k ƒ / 0 % A g E E # 0 i , �! o ? G m 0 m $ a - / C k ® t< 32 7 w 0)> - / CD { 0 CL / o 0 k k :,4 E m « $ 7 E 5E 2 a 0 , C \ = k C R CL ƒ & q m , - , # m K Z G \ R § ; # 5' -4k \ }- ) Eƒ /§ _ \ �® ) / # § k C <� � O 0 Err 0 0 E ] § $ § m ƒ 2 � C k �( >0 © $ N CCa./ / | �0 ; 0 > a \/< ( \ §\ c a� D } § / m ¥ - / CD 0 / 0 E \ \ r- O / z E § $ 7 ! C C _ co _ % m ƒ_ § $ / A , g \ ]§ CLM \ \ ƒ � ] 7 ) CL > CD \ \ _ g { $ / \ } CVS/pharmacy 4721 EAST 126TH STREET I CARMEL, IN 46033 317.848.2824 iREG#01 TRN#8952 CSHR#1417057 STR#4635 Helped by: SAMANTHA 1 CDRY TONIC WTR 33.8 1.878 1 CDRY TONIC WTR 33.8 1 .87B 1 CORY TONIC WTR 33.8 1.87B 1 CORY TONIC WTR 33.8 1.87B 1 CDRY TONIC WTR 33,8 1 .87B 1 CDRY TONIC WTR 33.8 1 .87B 1 OCN SPR GRAN ORIG 64Z 4.798 7 ITEMS SUBTOTAL 16.01 IN 7.0 TAX 1.12 TOTAL 17.13 `x CASH 20.00 CHANGE 2.87 II�IIII IIII ISI III VIII III�II�II�I II 2504 6357 2178 9520 15 RETURNS WITH RECEIPT THRU 10/04/2017 AUGUST 5, 2017 8:31 PM a GET YOUR CVS EXTRACARE CARD THANK YOU. SHOP 24 HOURS AT CVS-COM