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183906 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 241254 Page 1 of 1 ONE CIVIC SQUARE PETTY CASH CARMEL, INDIANA 46032 C/O CARMEL POLICE DEPT CHECK AMOUNT: $77.66 4 C/O CARMEL POLICE DE CHECK NUMBER: 183906 CHECK DATE: 3/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 46.07 OTHER MISCELLANOUS 1110 4358300 31.59 OTHER FEES LICENSES ms=`s :4 L- R Savings Made Simple CLUB MANAGER MICHAEL KANTNER 317 585 1619 Fax and Pull (317 )585 -9364 INDIANAPOLIS, IN 03/08/10 14:59 6336 8168 010 16 W MEMBER 101 *1-s -035 THANK YOU, ZELLERS ENTERPRISES -,E 72945 OLD WORLD 7.58 N E 687699 KISSES 10.48 T E 687699 KISSES 10.48 T E 460290 CHEESE SAUCE 5.68 N E 968794 FRITOLAY 2PK i 5.98 N E 968794 FRITOLAY 2PK 5.98 N E 749923 SALAD MIX_ 2.47 N 738766 4 9=42 -T E 13960 BEEF STICK 7.28 N E 13960 BEEF STICK 7.28 N E 63910 FANCY SHR 5 10.82 N E 267002 DELI SPIRALS 10.76 N E 267002 DELI SPIRALS 10.76 N E 267002 DELI SPIRALS 10.76 N E 913367 BEEF SMOKIES 7.97 N E 913367 BEEF SMOKIES 7.97 N E 913367 BEEF SMOKIES 7.97 N E 255369 GENOASALAMI'• 7.73 N E 889902 PUB MIX 6.34 N E 889902 PUB MIX 6.34 N E 319670 GROUND BEEF 15.57 N E 105119 TOASTEDS 7.64 N E 908032 ORGANIC PEEL 4.98 N E 545560 CHI CHI'S 3.98 N E 545560 CHI CHI'S 3.98 N E 2599 MIXED NUTS 10.87 N E 321389 DRESSING GAL 7.64 N E 786086 GRAPE JELLY 3.25 N E 990125 MMCOLBYCUBE 7.46 N Continued on back.. E 990196 MMCHEDRCUBE 7.46•N E 990210 MMPEPJACCUBE 7.46 N E 968794 FRITOLAY 2PK 5.98'N E 968794 FRITOLAY 2PK 5.98 N E 968794 FRITOLAY 2PK 5.98 N E 749755 CELERY 2.27 N E 61971 MINI CUCUMBE 4.98 N E 12984 CLUB CRACKRS 3.49 N 414131= PAPER::PL-ATE1-- t2 -785vT E 1831424ICEaMTN_MI R A -35 .N E 183142 ICE-MTN =NTR5� 4 -35 N 309658-FOAM= PLA4ES 71222• =T 309203 BOI�tIL3Q0_GT SUBTOTAL 305.67 TAX 1 7.000 4.08 TOTAL 309.75 CASH TEND 309.75 CHANGE DUE 0.00 ITEMS SOLD 42 TCN 8 5982 85 0513 9 III) III�IIIIIIIIIIII�IIII IIIIIIIII�III IIIIIII IIIIIiIII�IIIIIII WE VALUE YOUR OPINION WE WANT TO KNOW ABOUT YOUR SHOPPING EXPERIENCE TODAY AT SAM'S CLUB Please complete a survey about today's club visit at: httg): /www.survey.samsclub.com IN RETURN FOR YOUR TIME YOU COULD RECEIVE ONE OF FIVE $1.000 SAMS CLUB SHOPPING CARDS You must be 18 or older and a legal resident of the United States to enter. No purchase necessary to win. To enter without purchase and for official rules visit: www.entry.survey.samsclub.com Sweepstakes period ends on the date shown in the official rules. Survey must be taken within TWO weeks of today. Esta encuesta'tambien se encuentra en espahol en la p5gina de Internet. THANK YOU Give spring a healthy start with items and tips at samsclub.com /yourhealth. 03/08/10 15:03:55 i CRYSTAL FLASH #67 545 S. RANGELINE RD. CARMEb IN 46032 317-846 -2828 1D18570045 -001 CRYSTAL FLAR67 545 S RANGELINE RD CARMEb IN Descr. -aty amount MONEY ORDER 1 30.00 M FEE 1.59 Sub Total 31.59 Tax 0.00 TOTAL 31-59 CASH 31.59 WE APPRECIATE YOUR BUSINESS REG# 0003 CSH# 006 DR# 01 TRAM# 32046 03/17/10 09.21:47 ST# 67 yPrescribed 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 Petty Cash Purchase Order No. 3 Civic Square Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3/8/10 reimburse petty cash for paper products and water 46.07 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 1C 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. t ALLOWED 20 Petty Cash IN SUM OF 3 Civic Square Carmel, IN 46032 46.07 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or PT INVOICE NO. ACCT #CfITLE AMOUNT 1 hereby certify that the attached invoice(s), or 1110 390:'99 46.07 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 March 24 20 10 .;%,A,,,e 1) Jb Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund FRONT 2 14ERMDCHROMIC ABSENCE OF THESE FEATURES THE OF THE DOCUMENT HAS MICRO -PRINT IT T CO-PRN AMOUN BOX AND I WILL A COPY, 2., 75 MoneyGram. T9 Money Orders 'Nfon PGram. V1 A ney Orders ci INTERNATIONAL MONEY ORDER '4 CO 0 4S IJ_ 1 51 E" ;z c\j m n z PAY TO THE v V PAY ONLY THIS AMOUNT V V., C) ED 00 LO ORDER OFJ t� 4 .1. L0 PAGAR A LA rA L) Z g"' ORDEN DE:_ m IMPORTANT SEE BACK BEFORE CASHING TH1 RTY D'Ci L L P S ;4 cri IEL C:) 04TY PO4i C e E6j CO U) 0 A m 00 IN WNAD'S W." K PURCHASER, SIGNER- FOR DRAWER COMPRADCL MA DEL LIBRADOR NJ q Zt PURCHASER, BYSf6NiNG YOU AGREE TO THE SERVICE CHARGE 'R'S ON THE REVERSE SIDE 5D 00 0 0 F 4- 0 0 �6' 7 MONEY ORDER: ADI�)Rlll I GIFT CERTIFICATE: RECIPIENT 0 S Pay a ble ug 8 0 G AM 'A 'M' T' '0 I S S UE R D RAWER: C, ble Through 111 Fargo 8 ank 'Y IT, M I R h Central, N.A. MONEYGRAM PAYMENT SYSTEMS, INC TO AUTHENTICATE FIVE) CIRCLE Or k U h _A A PARA AUTENTICAR'SEST,REC. CIRCULC- ..Ancho]rzQ Cj C. o 0, xFFp A COPY OF THIS STUB z 9 S 54 FOR YOUR RECORDS/ MANTENGA UNA COPIA OF ESTE RECiBO PARA SUS ARcHrvos LID C7 z D Z :D c 7m iA Z r 7 JZI r 7-�j co Co m IF z �i LA r Q LTI E S, C .'LD ­J 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 Petty Cash Purchase Order No. 3 Civic Square Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3/17/10 reimburse petty cash for titles 31.59 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 P e'`_ty Cash IN SUM OF 3 Civic Square Carmel, IN 46032 31.59 ON ACCOUNT OF APPROPRIATION FOR police generla fund 0 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 583 31 .59 bills) is (are) true and correct and that the materials or services itemized thereon for t which charge is made were ordered and received except March 25 20 10 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund