188002 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 241762 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 LAW ENF AID FUND CHECK AMOUNT: $7.49
LAW ENF AID FUND CHECK NUMBER: 188002
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE
911 4239099 7.49 OTHER MISCELLANOUS
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I'm PETER. Thank you for allowing me
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218 10 6987 03231 003
RFN# 0323 1036 -9871- 1007 -0720
F WALL PAIN CP 500S lA 12.49
F WALG PAIN CP 500S lA 5.00 -MFGC
SUBTOTAL
A =7% SALES TAX 87
TOTAL 8.36
CHANGE CASH 111.64
MFG COUPON SAVINGS: 5.00
YOUR TOTAL SAVINGS: 5.00
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1215 S Range Line Rd Carmel, IN
STORE (317)571 -1176
F= ELIGIBLE FLEX SPEND ACCT ITEM (FSA)
OPEN 24 HOURS
THANK YOU
SAVE ON YOUR PRESCRIPTIONS BY JOINING
WALGREENS PRESCRIPTION SAVINGS CLUB
SEE PHARMACY FOR DETAILS
JULY 7, 2010 11:04 AM
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ens maybe returned to any of our Items purchased at Walgreens maybe returned to any of our Items purchased at Walgreens maybe returm
rchase for exchange or refund. With stores within 30 days of purchase for exchange or refund. With stores within 30 days of purchase for exchang
3e returned for the full purchase price original receipt, items will be returned for the full purchase price original receipt, items will be returned for the
in the original method of payment. and refunds will be issued in the original method of payment. and refunds will be issued in the original metl
imms will be returned at the lowest Without original receipt, items will be returned at the lowest Without original receipt, items will beretume
ds will be issued as store credit advertised price and refunds will be issued as store credit S advertised price and refunds will be issued as
you will be asked for valid photo toaWcard. For any return, you will be asked for valid r toaWcard .Foranyreturn,youwillbeaskedf
he.right limit or refuse a refund. identification. We reserve the right to limit or refuse a refund identification. We reserve the right to limit or
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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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount.,.
Date Number (or note attached inuoice(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
IN SUM OF
4°
ll 9
7,
ON ACCOUNT OF APPROPRIATION FOR
0l
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
7//4 20/0
f
MA- Tale_
n ature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund