182729 03/02/2010 CITY OF CARMEL, INDIANA VENDOR: 354308 Page 1 of 1
ONE CIVIC SQUARE ANDREA STUMPF
i CHECK AMOUNT: $202.87
CARMEL, INDIANA 46032 1225 N ALABAMA UNIT A
INDIANAPOLIS IN 46202 CHECK NUMBER: 182729
CHECK DATE: 3/2/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4239099 3.59 CARD
902 4359003 199.28 59590924 HELIUM
r
eb,.12. 2010 1,12PM INDIANA OXYGEN No. 9222 P. 1
go-(
Ifi air- 29
899 0 IRATE
INDIANAPOLIS IN 46178
TERMINAL I.0.1 so
8
MERCHANT NJ Ibb
WIH� L
SALE
iNUOICE� 3�34G424
OATEI FEB 17, 1818 TIIIEE1 11: 0
RUTH N01 183882
TOTAL #T99„28
H--
AME TO PAY ABODE TOTAL AMOUNT
A COROIH6 10 CARD I8BUER AGREEMENT
(MERCHANT AGREEMENT IF won UOUCHEn
MERCHANT CORY
4
Page 1 of 1
'�fy^ ransaction Details
HI Prepared for Bl Cash f February 3, 2010 to February 16, 2010
ANDREA G STUMPF
Account Number
XXXX- XXXXXX -21006
1 11 of 11 Transactions
Date =Description Amount
02/12/2010 Fri INDIANA OXYGEN HK21NDIANAPOLIS 199.28
85101590043 317- 290 -0003
317- 290 -0003
Doing Business As INDIANA OXYGEN- INT STORE
6099 CORPORATE WAY
INDIANAPOLIS
Merchant Address IN
INDIANAPOLIS
46278 -2923
UNITED STATES
Reference Number: 320100430243971580
Category: Other Miscellaneous
1 11 of 11 Transactions
Previous Balance as of Feb 02
Payments 0.00
Charges
Closing Date: Mar 02, 2010 Outstanding Balance
https:// online. americanexpress. com /myca/estmt/us /does /print_doc.html 2/16/2010
(DTARGET
MPECi MORE. PAT LESS:
INQY GLENQALE 317 -q5q -'7504
02/15/2010 03:00 PM EXPIRES 05/16/10
Hi lll1111111I11I1 III 11111V IIII
GROCERY
HEALTH BEAUTY COSMETICS
STATIONERY- OFFICE
TARGET COI T JP0t4
SUBTOTAL $27.70
T IN TAX 7.,0000% on $24.11 $1.69
TOTAL $29.39
CHARGE $29.39
Target Pharmacy We're here to help!
9am 9pm M -F
9am 6pm Sat
9am 6pm Sure
REC #2- 0046 2391-0077 9621 -6 VCO #751- 252 -548
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (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))
5I aal Js c��s�� C� 19.
d 15 1 O 02, 6&4 C 3
Total C ,0 6,x 7
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.
pI ALLOWED 20
PCB_ V t IN SUM OF
r. �y ce
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
d 5 ,5 -aL 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
'2s 20 i 0
Direc ation9
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund