181876 02/03/2010 /,',....-.1,,,, CITY OF CARMEL, INDIANA VENDOR: 00351421 Page 1 of 1
ONE CIVIC SQUARE DAVID DYE
f i CARMEL, INDIANA 46032 CIO WASTEWATER TREATMENT PLANT CHECK AMOUNT: $4.10
jr C/O WASTEWATER TREAT CHECK NUMBER: 181876
1 4
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4.10 OTHER EXPENSES
CARMEL RETAIL STORE
CARMEL, Indiana
460329998
1740350814 -0091
01/22/2010 (800)275 -8777 02:56:26 PM
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
CHICAGO IL 60604 $5.00
Zone -2 Priority Mail
1 lb. 0,80 oz.
Return Rcpt (Green $2.30
Card)
Certified $2.80
Label 70011140000329908843
Customer Postage -$6.00
Subtotal: $4.10
Issue PVI: $4.10
INDIANAPOLIS IN $4.90
46204 Zone -1
Priority Mail
15.70 oz.
Return Rcpt (Green $2.30
Card)
Certified $2.80
Label 70011140000329908850
Customer Postage $10.00
Subtotal: $0.00
,Issue PVI: $0.00
Total: $4.10
Paid by:
Cash $5.00
Change Due: -$0,90
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Customer Copy
VOUCHER 097 207 WARRANT 'ALLOWED
351421 INSUMOF$
DYE, DAVID
6170 Buckskin Ct.
Indianapolis, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
012210 01- 7362 -05 $4.10
Voucher Total $4.10
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995
ACCOUNTS PAYABLE VOUCHER y
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351421
DYE, DAVID Purchase Order No.
6170 Buckskin Ct. Terms
Indianapolis, IN 46250 Due Date 1/27/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/27/2010 012210 $4,10
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
Date Officer