186663 06/21/2010 CITY OF CARMEL, INDIANA VENDOR: 362529 Page 1 of 1
ONE CIVIC SQUARE DON CLEVELAND
CARMEL, INDIANA 46032 141 STONY CREEK OVERLOOK CHECK AMOUNT: $18.88
NOBLESVILLE IN 46060 CHECK NUMBER: 186663
l SON G
CHECK DATE: 6/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 43SS100 0614101 18.88 REIMBUSEMENT
u
Savings Made Simple
CLUB MANAGER MICHAEL KANTNER
317 585 1619
Fax and Pull (317 )585 -9364
INDIANAPOLIS, IN
06/14/10 15:44 040468 005 1757
V MEMBER 101- *9689
THANK YOUJ,
DONALD CLEVELAND
E 717904 SPLENDA PKTS 18 88 N
SUBTOTAL R 88
TAL TO(47992 18.88
CHANGE DUE 0.00
EFT PAY FROM
ACCOUNT
18.88 TOTAL PURCHASE
REF 016500792203
NETWORK ID. 0056 APPR CODE
Continued on back...
I
06/14/10 15:44:26
ITEMS SOLD I
TC# 0835 3167 3112 1262 8223
II I IIII IIIIII IIII I II IIIIII II IIIIIII I IIIIII I IIIIIIIIIIIIII
WE VALUE YOUR OPINION
WE WANT TO KNOW ABOUT YOUR SHOPPING
EXPERIENCE TODAY AT SAM'S CLUB
Please complete a survey about today's club visit at:
hftp:11www. survey. samsclub.com
IN RETURN FOR YOUR TIME YOU COULD RECEIVE
ONE OF FIVE $1,000 SAMS CLUB SHOPPING CARDS
You must be 18 or older and a legal resident of the
United States to enter. No purchase necessary to win.
To enter without purchase and for official rules visit:
www.entry.survey,samsclub.com
Sweepstakes period ends on the date shown in the
official rules. Survey must be taken within TWO weeks
of today.
Esta encuesta tambien se encuentra en espanol en la
pigina de Internet.
THANK YOU
Father's Day is June 20. Find gifts at
great prices, from movies to HDTVs.
06/14/10 15:44:27
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER ON Form No. 201 (Rev. 7995)
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
le re h.II O 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
D ONI J o yewj
IN SUM OF
ss
ON ACCOUNT OF APPROPRIATION FOR
Pay from Cash
K
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. r I hereby certify that the attached invoice(s), or
JCL 0 /CGS Y. 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
6
Director o ®�'N elopment
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund