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184272 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1 s ONE CIVIC SQUARE ANN GALLAGHER 1 CARMEL, INDIANA 46032 171 PARKVIEW COURT CHECK AMOUNT: $413.86 CARMEL IN 46032 CHECK NUMBER: 184272 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 851 5023990 413.86 OTHER EXPENSES The Meijer Team appreciates your business 04/08/10 Your fast and friendly checkout was provided by Fastlane114 TRANSACTION RESUMED 13 TERMINAL NUMBER. 114 GENERAL MERCHANDISE 2659971660 BIKE HELMET 14.99 CT 2659974242 BIKE HELMET 2 14.99 29.98 CT 265997424 BIKE HELMET 2 4=,14.99 29.98 CT 2659971228 BIKE HELMET 21.97 CT 2891472028 BOYS BIKE 39.99 CT 2891472138 GIRLS BIKE 39.99 CT 2891421817 GIRLS BIKE 52.99 CT 2891423300 20" BIKE 56.99 CT 2891423310 20" BIKE 56.99 CT 2891421868 HUFFY BIKE 69.99 CT TOTAL TOTAL TAX .00 TOTAL 413.86 PAYMENTS GIFT /RETURN CARD TENDER 100.00 M Acct:XXXXXXXXXXXXXXX3215 GIFT /RETURN CARD TENDER 25.00 M Acct:XXXXXXXXXXXXXXX9525 CREDIT CARD TENDER 288.86 413.86 NUMBER OF ITEMS 12 T1 ITEM VALUE EXEMPTED 413.86 -T1 TAX EXEMPTED 28;97 T2 ITEM VALUE EXEMPTED .00 T2 TAX EXEMPTED .00 T4 ITEM VALUE EXEMPTED .00 T4 TAX EXEMPTED .00 SUMMARY GIFT /RETURN Remaining Bal: .00 GIFT /RETURN Remaining Bal: .00 Illllli l 1111 Ill li l ll 111 111 ll 111 l 1111 ll 111111 l 111 A013 0OF0331GFS Tx:51 Op:565 'Tm:114 S1:130 12:15:50 How are we doing? Rate your shopping. u Experience and Vou May Win a $1000 Meijer Gift Visit us' at www.ineiier.com /ratemeijer or call 1- 888 634 -5371 User ID:005101301 Password:009801146 Survey should be completed within 72 hrs Return Exchange Policy Meijer honors General Merchandise returns within 90 days from date of purchase and when accompanied with receipt. After 90 days, manufacturer's warranty applies. For computer and electronic items returns must be made within 30 days. We cannot refund opened music, movies,collectibles, video games and video game systems. However, damaged and defective items will be exchanged for an identical item. Ammunition must be returned within 24 hours of purchase.. We accept returned food items with or without a receipt including meat, seafood, deli, produce, grocery, dairy and frozen. We will only accept returns on State approved WIC items and formula with a receipt. We stand behind our name, any product with the "Meijer" brand maybe returned without receipt.',* *Returns without receipt are subject to lowest sale price. Return Exchange Policy Meijer honors General Merchandise returns within 90 days from date of purchase and when accompanied with receipt. After 90 days, manufacturer's warranty applies. For computer and electronic items returns must be made within 30 days. We cannot refund opened music, movies,collectibles, video games and video game systems. However, damaged,and defective items will be exchanged for an identical item. Ammunition must be returned within 24 hours of purchase.' We accept returned food items with or without a receipt including meat; seafood, deli, produce, grocery, dairy and frozen. We will only accept returns on State approved WIC items and formula with a receipt. We stand behind our name, any product with the "Meijer" brand may be returned without a receipt.* *Returns without receipt are subject to lowest sale price. Return Exchange Policy Meijer honors General Merchandise returns within 90 days from date of purchase and when accompanied with receipt. After 90 days, manufacturer's warranty, applies. For computer and electronic items returns must be made within 30 days. We cannot refund opened music, movies,collectibles, video games and video game systems. However, damaged and defective items will be exchanged for an identical item. Ammunition must be returned within 24 hours of purchase. We accept returned food items with orwithout a receipt including meat, seafood, deli, produce, grocery, dairy and frozen. We will only accept returns on State approved WIC items and formula with a receipt. We stand behind our name, any product with the. "Meijer" brand may be returned without a receipt.'* *Returns without receipt are subjectto lowest sale price. Return Exchange Policy Meijer honors General Merchandise returns within 90 days from date of purchase and when accompanied with receipt. After 90 days, manufacturer's warranty applies. For computer and electronic items returns must be made within 30 days. We cannot refund opened music, movies, collectibles, video games and video game systems. However, damaged and defective items will be exchanged for an identical item. mmunition must be returned within 24 hours of purchase. We accept returned food items with or without a receipt including meat, seafood, deli, produce, grocery, dairy and frozen.* r VOUCHER NO. WARRANT NO. ALLOWED 20 Ann Gallagher IN SUM OF $413.86 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members sp2 t $413.86 I hereby certify that the attached invoice(s), or 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 APR 12 2010 Fire Chief Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) $413.86 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