187810 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
0 ONE CIVIC SQUARE ANN GALLAGHER CHECK AMOUNT: $318.28
CARMEL, INDIANA 46032 171 PARKVIEW COURT
CARMEL IN 46032 CHECK NUMBER: 187810
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 REIMBURSE 318.28 TEEN ACADEMY
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Sawa moriey. Live better.
MMNAG|ER CHRIS HMGEMEIEV
J 841 0096
Sn* 16O| VP8 000$1608 TE� 12 TR# 06860
�HO|U 083382302966 7.60 O
SHORT 083982202366 7.50 O
~3H8UT 883382202365 750 O
SHORT 033382202365 7.50 O
SU8TOTHL 30.00
TOTAL
TEND
ACCOUNT
APPROV8L �84/�T,
TRANS I'll �u715861690
VHL108TI0u -627
PHY1 SERVICE E
CHANGE DUE O.00
:11: T^ SOLD
n /�xn�
TU: 1819 9581 8877 7760 71
o*+:UsrOHER COP'(***
Wal
Save money.. Live better-
MANAGER CHRIS HAGEMEIER
317 844 00965
ST# 1601 OP# 00000370 TE008' TR# 08697
'IM 28PK 008304600462rF'; 3.98 0
IM 28PK 008304600462F' pk 3.98 0
IM 28PK 008304600462A.. i; 3.98 0
IM 28PK 00830460046Z{rl 3.98 0
IM 28PK 008304600462, F 3.98 0
C0KEi, 004900001178 F 5.98 0
COKE r 004900004284' F, 5.98 0
COKE,l y;; 00490000428,4E }'+t 5.98 0
DR PEP PER 00780000821:0, Fr 5.98 0
SPRI* 004900003728rF 5.98 0
COKE!, 004900001278 (F 5.98 0
SHORT 083382202366 p 7.50 0
SHORN 083382202366? u� 7.50 0
SHORTS 083382202366 7.50 0
SHORT 08338220236' 7.50 0
SHORT 08338220236' 7.50 0
SHOR.1,1 083382202365 7.50 0
SH0R.Tj q, 083382202365 t� 7.50 0
SHORW. 083382202365 :a' 7.50 0
SHORT'' r. 083382202365] 7.50 0
jx,
SHORT- 083382202365'a. 7.50 0
r,
eI SUBTOTAL ,138.28
r K TOTAL'�,�ti
K X 138 28
ACCOUNT.k2480
APPROVA' #00807R
q r< CHANGE 0.00
TEMS SOLDr22
ill v,
7158 6753 0739 7939 83 0
I IIIIII IIIIII II III IIII III I II I II I II II IIII I, I l�.l II I II I I I IIII
We l N,,uou to Pay the [i Price.
Askabout our Price mafchaPOlicy.
�07/08/10 12 ::59:`50:
.r�, *CUSTOMER COPYG *i
'WIN PRIZES! SEE DETAILS BELOW!
Abuelo`s Store 625
14480 Lowes Way
Carmel, IN 46033
Server: MATTHEW 07/0-8/2010
Fast Close/1 1:10 PM
Guests: 0 50020
Gift Card 25.00
XXXXXXXXXX1147
Gift Card 25.00
XXXXXXXXXX1148
Gift Card 25.00
XXXXXXXXXX1149
Gift Card 25.00
XXXXXXXXXX115
Gift Card 25.0O
XXXXXXXX61151
Gift Card 25.O0
XXXXX%XXXX1152
Subtotal
Total 0o
150.00
Auth 00859R
/oral;
X
114 e. 0 0
Complete our Guest-Survey at
abuelos,com or 866.250.9411
Than� You
Prescribed 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))
7/13/10 reimburse Ann Gallagher for gift cards and shorts 318.28
for Teen Academy
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
Ann:Gallagher IN SUM OF
171 Parkview Court
Carmel, IN 46032
318.28
ON ACCOUNT OF APPROPRIATION FOR
police gift f und
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
852 852 318.28 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
July 13 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund