186353 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 354296 Page 1 of 1
6 ONE CIVIC SQUARE HOBBY LOBBY STORES CHECK AMOUNT: $13.92
CARMEL, INDIANA 46032 Po Box 960070
OKLAHAMA CITY OK 73196 -0070 CHECK NUMBER: 1$6353
CHECK DATE: 619/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359000 MAYOR 13.92 SPECIAL PROJECT'S
L 113Y.
2206 E. 116th Street
Carmel IN 46032
(317) 818 -9217
HOB -LOB #182
12:20PH May 28
01 -0001 001 STEPHS
#61246
48 $0.29
SCRAPBOOK T$ 13,92
r :.AX EXMP
RD #��17550
NUMBER 017550
.i=RATOR ID STEPHS
0 C A135480
X
Buyers Name
(Please Print)
X
Buyers Signature
T 0'1r k L $13,92
AR CARD $13.92
THANK YOU
PLEASE COME AGAIN
RETURN POLICY ON BACK OF RECEIPT
D0 0e
NCO Plea >e go to www,hobbylobby,com
for weekly ads and coupons
VOUCHER NO. WARRANT N
Hobby Lobby ALLOWED 20
IN SUM OF
P. O. Box 960070
Oklahoma City, OK 73196
$13.92
ON ACCOUNT OF APPROPRIATION FOR
Mgyor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1160 Receipt 43- 590.00 $13.92 1 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
Friday, June 04, 2010
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rey 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))
05/28/10 Receipt $13.92
1 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
2a
Clerk- Treasurer