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184976 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 318025 Page 1 of 1 a ONE CIVIC SQUARE DAVID R VANDERBECK CHECK AMOUNT: $24.04 CARMEL, INDIANA 46032 CHECK NUMBER: 184976 CHECK DATE: 4/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343003 24.04 TRAVEL LODGING •Hlgher Stnnderds r meii W. Carmel Dr. Carmel, IN 130 (317) 573 -8300 meijer.com The Meijer Team appreciates your business 04/13/10 Your fast and friendly checkout was provided by FastlanetOl x--- SAVINGS TODAYxxxw TOTAL NON- COUPON SAVINGS .76 SAVINGS TOTAL -76 GROCERY 3.57 lb 1 lb .47 4011 BANANA 1.68 F 71928359664 PLATES 2.59 T 1200050404 AQUAFINA 4.99 F 4125100391 COOKIES 5.99 F *70882028987 PARTY MIX was 3.99 now 3.79 F *1200000230 PEPSI 1 4 5.00 was 1.39 now 1.25 FT 1200000231 PEPSI 1 14/5.00 was 1.39 now 1.25 FT *1200000233 MOUNTAIN DEW 1 4 5.00 was 1.39 now 1.25 FT *1200000746 MOUNTAIN DEW 1 Q 4 5.00 was 1.39 now 1.25 FT TOTAL i TOTAL TAX 3 TOTAL 24 7 PAYMENTS CASH ENDER 00.00 CASH 775.43 NUMBER OF ITEMS 9 Till VIII III VII IIIIII I VIII IIIIIII IIIII II III A013 LNH83766S 0 Tx:204 Op:552 Tm:101 S1:130 15:42:56 How are we doing? Rate your shopping Experience and You May Win a $1000 Meijer Gift Card! Visit us at www.moi,jer.com /ratemei.jer or call 1 -888- 634 -5371 User ID:020401307 Password:010301014 Survey should be completed within 72 hrs Meijer honors General Merchandise returns within 90 days from date of purchase and when accompanied with receipt. After 90 days, manufacturer's warranty applies.: or 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 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 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 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 tod items with or without a receipt including meat, seafood, deli, produce, grocery, dairy and frozen. 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 David R. Vanderbeck Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/13110 _-reinhurse Officer Dave Vanderbeck for refresbmi-ntr, 24.04 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 David R. Vanderbeck IN SUM OF 24.04 ON ACCOUNT OF APPROPRIATION FOR police genreal fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 430 -03 24.04 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 April 22 20 10 A mAt e— A rD av��a Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund