322058 02/19/18 ••C.1q
�yy_. __,,f CITY OF CARMEL, INDIANA VENDOR: 241762
® �' ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $******"*27.59*
CARMEL, INDIANA 46032 LAW ENF AID FUND CHECK NUMBER: 322058
MIruN.�;- LAW ENF AID FUND CHECK DATE: 02/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4231400 4.00 GASOLINE
911 4239099 23.59 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 241762
PETTY CASH IN SUM OF$ CITY OF CARMEL
LAW EN F AID FUND 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.
LAW ENF AID FUND
Payee
$27.59
ON ACC OI�N O &P.P.K RPA A N FOR Purchase Order#
�-IC�TF Terms
Pro'ect#2018-911 and Task 2018-2 Date Due
PO# DATE INVOICE# DESCRIPTION
DEPT# INVOIC Fund# AMOUNT Board Members. DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 42-390.99 $10.00 1 hereby certify that the attached invoice(s),or 2/14/18 0 $10.00
911 911 911 911
0 42-390.99 $13.59 bill(s)is(are)true and correct and that the 2/14/18 0 $13.59
911 1 1 911 1materials or services itemized thereon for 911 911
0 I 42-314.00 I $4.00 2/15/18 I 0 I I $4.00
911 911 which charge is made were ordered and 911 911
received except
Friday, February 16, 2018
Frost, Dwight
Major
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
1 Fresh food.
t ow pric o'S.
1217 S. RANGELINE RD.
317-846-4818
Your cashier was CHEC 511
�TIDYCAT LITTER13.59 T
0.9
#### BALANCE 14.54
US DEBIT Purchase
4#00#000740 - C
REF#: 000000 TOTAL: 14.54
PURCHASE: 14.54 CASHBACK: 0.00
AID: A0000000980840
TC: 32AB90A106648920
VERIFIED BY PIN
DEBIT 14.54
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD = 1
### Check Cart ###
02/14/18 02:20pm 959 511 42 999999511
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DEVONSHIRE EXXON, 1
5020 E 62ND ST
INDIANAPOLIS, IN 46220
02/15/2018 12:32:08 PM
Register: 1 Trans #: 7482 Op ID: 1
Your cashier: RAM
** REPRINT *** REPRINT *** REPRINT ***
Regular CA PUMP# 6
1 .557 GAL L $2.569/GAL $4.00 99
DISCOUNTS APPLIED BEFORE FUELING:
CASH $-0.030/GAL
Subtotal = $4.00
Tax = $0.00
Total = $4.00
** REPRINT *** REPRINT *** REPRINT ***
Change Due = $0.00
Cash $4.00
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MICHAELS STORE #9951 (317)580-9200
GREYHOUND PLAZA
14670 U.S. 31 NORTH
CARMEL, IN 96032
Rewards Number: LMR90118262394
8-'3595-9%5-8615-75%-8111-1185-1600-5318
SALE 4701 9951 8 12:12
SD FRM 11X19/8X10 38555391236 10,00 1 @ 10,00
SUBTOTAL 10.00
Sales Tax 7% .70
TOTAL. 10.70
CASH TEW 20,00
DfHE 9.30
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