189270 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 363885 Page 1 of 1
ONE CIVIC SQUARE SCOTT CAMPBELL CHECK AMOUNT: $33.24
CARMEL, INDIANA 46032 C/O UTILITIES
CHECK NUMBER: 1891270
CHECK DATE: 813112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 REIMB 33.24 OTHER EXPENSES
J
CARMEL RETAIL STORE
CARMEL, Indiana
460329998
1740350814 -0094
08/30/2010 (800)275 -8777 09:50:03 AM
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
CARMEL IN 46032 $0.44
Zone -0 First -Class
Letter
0.40 oz.
Expected Delivery; Tue 08/31/10
Return Rcpt (Green $2.30
Card)
Certified $2.80
Label 70041160000061822149
Issue PVI: $5.54
CARMEL IN 46032 $0.44
Zone -0 First -Class
Letter
0.40 oz.
Expected Delivery: Tue 08/31/10
Return Rcpt (Green $2.30
Card)
Certified $2.80
Label 70060810000193011380
Issue PVI: $5.54
CARMEL IN 46032 $0.44
Zone -0 First -Class
Letter
0.40 oz.
Expected Delivery: Tue 08/31/10
Return Rcpt (Green $2.30
Card)
Certified $2.80
Label 70060810000193011397
Issue PVI: $5.54
INDIANAPOLIS IN $0.44
46250 Zone -1
First -Class Letter
0.40 oz.
Expected Delivery: Tue 08/31/10
Return Rcpt (Green $2.30
Card)
Certified $2.80
Label 70060810000193011410
Issue PVI: $5.54
INDIANAPOLIS IN $0.44
46218 Zone -1
First -Class Letter
0.40 oz.
Expected Delivery: Tue 08/31/10
Return Rcpt (Green $2.30
Card)
Certified $2.80
Label 70060810000193011427
Issue PVI: $5.54
CARMEL IN 46033 $0.44
Zone -1 First -Class
Letter
0.40 oz.
Expected Delivery: Tue 08/31/10
Return Rcpt (Green $2.30
Card)
Certified $2.80
Label 70060810000193011434
Issue PVI: $5.54
Total: $33.24
Paid by:
Cash $40.00
Change Due: -$6.76
Order stamps at USPS.com /shop or
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Bill# :1000600
Clerk :l2
All sales final on stamps and postage
Refunds for guaranteed services only
Thank you for your business
Prescribed by State Board of Accounts ACCOUNTS PAYAB.! VOUCHER
G
N 301 -S (Rev. 1995)
u
r' TO
ADDRESS
Invoice Date Invoice Number Item Amount
f
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
,19
Signature Title
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 1- 10 -1.6. 1
Officer Title
Y 7'v r Fr;
M I A
r
Total
Deductions
i'
4 'w
A of
VOUCHER RECORD
f� Y
y�4 A
A
per �LL.i 4
Undistributed
Construction
1 Depreciation Reserve
S" Stock Accounts Merchandise
x
k e
N
f
1,. 1