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186312 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 'I ONE CIVIC SQUARE ANN GALLAGHER CHECK AMOUNT: $187.50 CARMEL, INDIANA 46032 171 PARKVIEW COURT CARMEL IN 46032 CHECK NUMBER: 186312 CHECK DATE: 6/9/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 187.50 OTHER EXPENSES qk WIN PRIZES! SEE Abuelo`s Stor,-A 625 14480 Lowes Way Carmel IN 46033 Server: CARMEN 06/01/2010 Table 1/1 12:28 PM Guests; 0 70017 Reprint 1 Gift Card 25.00 X%XXXXXXXX1241 Gift Card 25.00 %XXXXXXXXX1240 Gift Card 25.00 XXXXXXXXXX1239 Gift Card 25.00 XXXXXXXXXX1238 Gift Card 25.00 XXXXXXXXXX1237 Gift Card 25^00 XXXXXXXXXX1236 Subtotal 150.00 Total 150.00 B�alance Duo- 150.00 Complete our Guest Survey at abuelos,com or 866.250.9411 Thank You 1 'b WIN PRIZES! SEE DETAILS BELOW! Abuelo's -Store 625 14480 Lowes Way Carmel., IN 46033 Server: CARMEN DOB: 06/01;2010 12:31 PM 06/01 /2010 Table 1/1 7/70017 7340037 !Card OXXXXXXXXXXXX2480 Magnetic card present: GALLAGHER ANN Approval: 00103R Amount: 150.00 Tip: Total: t X Cornp e e `Eur Guest Surve a6uelos.com or 866.250.9411 Thank You 4 Thank You! 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 Ann Gallagher Purchase Order No. 1.71 Parkview Court Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/1/10 reimburse Ann Gallagher for gift cards for Teen 1.50.00 Academ 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 A Gallagher IN SUM OF 171 Parkview Court Carmel, IN 46032 150.00- ON ACCOUNT OF APPROPRIATION FOR p olice gift fund Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT ere y DEPT. I hereby y certif that the attached invoice( s or 852 852_'. 150.00 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 June 3 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund WE VALUE YOUR OPINION! WE WANT TO KNOW ABOUT YOUR SHOPPING EXPERIENCE TODAY AT WAL -MART. Please complete a survey about today's store visit at: http: /www.surves.walmart.com You will need to enter the following online: ID 7BG43ZKBF4B IN RETURN FOR YOUR TIME YOU COULD RECEIVE ONE OF FIVE 41000 •WALMART SHOPPING CARDS Must be 18 or older and a legal resident of the 50 US or DC tv enter. No purchase necessary iu enter or win. To/enter without Purchase and for complete offiri al rules visit www.entru.iurveu.walmart.com. Sweepstakes period ends on the date shown in the official rules. Survey muif be taken within TWO weeks of Esta encuesta tembi6n se encuentra en espanol en Is p$glna del Internet THANK�YOU -cj f� aImart.... Save money. Live better. MANAGER CHRIS HAGEMEIER 317 844 0096 ST# 1601 OP# 00005799 TE# 08 TR# 00394 SHORT 083382202365 7,50 X SHORT 083382202364 7.50. X SHORT 083382202364 7.50 X SHORT 083382202365 7,50 X SHORT 083382202364 SUBTOTAL 3Z�5 TAX 1 7.000 X TOTAL 40.13 40.13 ACCOUNT # APPROVAL #090636 TRANS ID 0000155003967186 VALIDATION -08MS PAYMENT SERVICE E CHANGE DUE 0.00 ITEMS SOLD 5 TC# 9994 1275 1001 0501 4108 illllll IIIII Iillll II IIIIIIII II I I IIIII II(I I IIII IIIII IIII IIIII III IIIIIIII IIIII IIIII II IIII Visit www.sixflass.com /walmart by Friday with code 6FO1 8 save @SixFlags 06/03/10' 20:06:40 *CUSTOMER COPY Prescribe�r 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 Ann Gallagher Purchase Order No. 171 Parkview Court Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/3/10 reimburse Ann Gallagher for Teen Academy shorts 37.50 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 A'in Gallagher IN SUM OF 171 Parkview Court Carmel, IN 46032 37.50 ON ACCOUNT OF APPROPRIATION FOR police gift fund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 852 852 37.50 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 .Tune 4 20 10 Signature Chief of P01ice Cost distribution ledger classification if Title claim paid motor vehicle highway fund