182415 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00351403 Page 1 of 1
ONE CIVIC SQUARE JEAN JUNKIER CHECK AMOUNT: $74.47
CARMEL, INDIANA 46032 INDIANAPOLIS ANN 46217
CHECK NUMBER: 182415
CHECK DATE: 2/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 74.47 OTHER MISCELLANOUS
vi
L BUY.
2206 E. 116th Street
Carmel IN 46032
317) 818 -9217
HOB -LOB #182
2;59PM Feb 11/10
01 -0001 003 LYNNAB
#21092
ACCENTS T$17.99
50% Discount.
50.00% T -9.00
ACCENTS T$34.99
50% Discount
50,00% T -17.50
TAX EXMP
CARD ************7746
OPERATOR ID LYNNAB
053853 APPROVED
APR# C A053853
REF# 00421810014
T OTAL $26.48
$26.48
THANK YOU
PLEASE COME AGAIN
RETURN POLICY ON BACK OF RECEIPT
Please go to www.hobbylobby.com
for weekly ads and coupons
l
Lou j 1 4
Greenwood Park Mall
Greenwood, IN 46142
317) 882 '0001
02 -09 -10 2 :18P 0134/0025/9458/1 1002XXX
10# 999 9790- 8985 8168- 9865 7405 -4111
BUY ONE GET ONE
DECORATIVE ART 882471255413 59.99 T1
ITEM PRICE 1 59.99
RETURN AMOUNT 30,00
DECORATIVE ART 882471255413 0.00 T1
ITEM PRICE 59.99
*FREE* 59.99
ItemPrice 59.99 YouSave 59.99
RETURN AMOUNT 29,99
SUBTOTAL 59.99
TRANSACTION DISCOUNT 20% 12.00
T1= 477-99 7.0% TAX 3.36
TOTAL $51.35
027359
TOTAL SNEO: $71.99
THANK YOU FOR SHOPPING AT KOHL'S
VI11111111 i 1l I 1 II I I 11 I II1111 II I I I II
Kohl's Kids Who Care Scholarship Program
Stand -up kids deserve to stand out
Visit Kvhlskids.com to nominate a
Young volunteer (age 6 by March 15.
Nominators must be age 21 years or older
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
1 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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoices) or
��i ao •a, w. -z- is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
FEB 1 201fl
r
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund