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323633 04/01/2018
CITY OF CARMEL, INDIANA VENDOR: 00352899 ONE CIVIC SQUARE ADRIENNE KEELING CHECK AMOUNT: $**...****9.90* CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 323633 CHECK DATE: 04/04/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4342100 REIMB 9.90 POSTAGE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 00352899 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ADRIENNE KEELING IN SUM OF$ CITY OF CARMEL C/O DOCS 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 $9.90 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 1712760814 43-421.00 $9.90 1 hereby certify that the attached invoice(s),or 3/27/18 1712760814 Certified Mailing for Docket#18030002 Z $9.90 1192 101 1192 101 Rezone 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 Wednesday,April 04, 2018 Mike Hollibaugh Director 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 f � --------------------- CARMEL 275 MEDICAL DR CARMEL IN 46032-9998 1712760814 03/27/2018 (800)275-8777 2:38 PM Product Sale Final Description Qty Price Purple Heart 1 11 $5.50 2 (Unit Price:$0.50) Total $5.50 Credit Card Remitd (Card Name:VISA) (Account #:XXXXXXXXXXXX8355) (Approval #:05398I) (Transaction #:218) (Entry Mode:Chip) (AID:AOOO0000031010) (Application Preferred Name:CHASE VISA) (Application Label :VISA CREDIT) (PIN:PIN Not Required) (Cryptogram:99C157D822D21FBC) (ARC:00) (CVR:5E0000) (IAD:06010AO3602002) (TSI:F800) (TVR:0000008000) In a hurry? Self-service kiosks offer quick -and easy check-out.. Any Retail Associate can show you how. All sales final on stamps and postage Refunds for guaranteed services only Thank you for your business HELP US SERVE YOU BETTER, TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE Go to: https://postalexperience.com/Pos 840-5460-0007-001-00049-00101-02 =h this code with tea• t\L G� ------------------- CARMEL 275 MEDICAL DR CARMEL IN 46032-9998 1712760814 03/27/2018 (800)275-8777 2:43 PM Product-----------------==Sale=======Final Description Oty Price CTOM - Firm - 6 $2.40 Domestic CTOM - Firm - 5 $2.00 Domestic Total $4.40 Credit Card Remit-d / $4,40 (Card Name:VISA) (Account #:)(XXXXXXX(XX)(8355) (Approval #:004231) (Transaction #:219) - - (Entry Mode;C��q) (KID:AOII®©M0 1010) �App1�0��ion Pre�Cerred Name:CHAsE �MAIRN N �\Iaqired� ll'iA 506�0Q.®3��2002�