185847 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 357005 Page 1 of 1
ONE CIVIC SQUARE DAVID LITTLEJOHN
s g� CHECK AMOUNT: $196.82
CARMEL, INDIANA 46032 4840 N. GUILFORD AVENUE
INDIANAPOLIS IN 46205 CHECK NUMBER: 185847
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 REIMB 196.82 OTHER EXPENSES
®r
I11ght Store. Right Price.
1217 S. RANGELINE RD.
317 -846 -4818
YOUR CASHIER WAS Ellen
KVLU NAPKINS 1.18 T
VNFR TABLCVR 3.99 T
VNFR TABLCVR 3.99 T
KRO CUPS 2,69 T
ICEMTN WATER PC 3.69 F
ICEMTN WATER PC 3.69 F
KRO ORNG JCE PC 3.49 F
KRO ORNG JCE PC 3.49 F
KRO ORNG JCE PC 3.49 F
KRO ORNG JCE PC 3.49 F
KVLU MXD FRT 4.49 F
KVLU MXD FRT 4,49 F
5.02 lb 0.49 /lb
WT BANANAS 2.46 F
3.58 lb 0,49 /lb
WT BANANAS 1.75 F
4.90 lb 0.49 /lb
WT CHIQ BANANAS 2.40 F
2.37 lb 0.49 /lb
WT BANANAS 1.16 F
ICEMTN WATER PC 4.29 F
ICEMTN WATER PC 4.29 F
TAX 0.83
TAX EXEMPTION 0.83
BALANCE 58.52
021 KROGER 4959
1217 S. RANGELINE RD.
CARMEL IN 46032
CREDIT CARD Purchase
*
TOTAL: 58.52
REF#: O743OZ
CREDIT CARD 58.52
EXEMPTED SALES AMT 11.85
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD 18
05/20/10 O2:39pm 959 10 147 130
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CHARL- BECHEL, MANAGER
Einstein Bros Bagels
Store 2280 PH: (317) 848 -9888
5/21/10 5:42:56 AM
Order Number: 1708524
Take Out
Cashier: Timmons
Register: 2
4 Doz Bckt 55.96
2 Bagel Dozen 18.38
4 Darn Good Coffee to Go 63.96
Sub, Total: 138.30
Tax: 0,00
Total: 138.30
Discount Total: 0.00
Change 0.00
138.30
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'I agree to pay the above Total Amount
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Signature:
Prescribed by Slate 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.
I Payee
11 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
�I
VOUCHER NO. WARRANT NO.
hA V) -j ALLOWED 20
(FT�� IN SUM OF
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund