181632 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 00351647 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
E i CARMEL, INDIANA 46032 C/O ADMINISTRATION CHECK AMOUNT: $14.95
C/O ADMINISTRATION
CHECK NUMBER: 181632
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4239099 14.95 COUNCIL WATER
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817 S R8HGUilw[ RD
317-816-1818
YOUR CASHIER WAS VICTORIA
K|0 WATER PC 2.99 F
SC 0119 PLUS CARD SAVINGS 0.98
m0 WATER PC 2.99 F
SC 0119 PLUS CARD SAVINGS 0.58
x|0 WATER PC 2.99 F
SC 0119 PLUS CARD SAVINGS 0.90
xK0 WNN PC 2.99 F
SC 0119 PLUS CARD SAVINGS 0.98
xk0 WATER PC 2.99 F
SC 0119 PLUS CARD SAVINGS 0.98
KROGER PI US CUSTOMER x*517*
T/m 0.00
*^e Bm oNC[ 11.95
CASH 20.00
CHANGE 5.06
T0HL NUMBER OF ([[MS SOLO 5
ea*°°'° KROGER SAVINGS °e*x:oi'
KK0GEV PLUS SAVINGS 1.90
TOTAL SAVINGS (21 pct.) 1.90
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01/14/10 09:1Sam 959 9 32 101
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Save $0.10 on ,e, pa/|o^ on 1 nl|vp
for ever |no Fuel pom'y
Fuel Pum|s n.is Order 11
Fuel Points E,pv/^n 02/28/10 11
5e, 'l/are for Details n Restrictions
Or Visit vww.wvs,rzvm
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You've redeemed $0.00 In RX Rewards
*SEE WHAT YOU ARE SAVING TU0Av*
YOU $4.90
n
WITH YOUR PLUS
x ou n ��nx o CARD
BY USING 'OUR xVDG[R PLUS CHRV.YOUR
ANNUAL SAVINGS l0 UnlE IS $1.90
THANK YOU PP SHOPPING KKUSEK
CUSTOMER SERVICE IS EVERYONE'S JOB.
LET ME KNOW HOW WE ARE DOING.
CHARL BECUEL. MANAGER
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))
Total
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
IN SUM OF
al
0 ill/b1 r\
ON ACCOUNT OF APPROPRIATION FOR
CADIA41 e goq9
Board Members
D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
j 2 A0 VI L-f, g 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
idR,-/A13- C°
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund