190173 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364386 Page 1 of 1
0 ONE CIVIC SQUARE KURT ANDERSON
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $23.23
CHECK NUMBER: 190173
♦4 "'ioH io
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4462838 9/18/10 23.23 STORM WATER PHASE II
1964) E. 6REYHOUND PASS
CIRMEL., IN 46032
31 7 '11571 -4355
5076 F Ii L B G 6) A I F f 99 F
e 5/1.0�
5 '.13 1 Ri A 0 R. 0 N C; F
5111 C5
5`62 RkA C 1-1 FR Ry .21 F
I e
.21 F
5/1.05
5 6 R ICA G R A p 1:. .21
5!1.05
5E 63 R K P, 6 R 11 fl: .21 F
05
5`563 R K R G .21 F
FRESH 1:OFP CLJSf0M1__-R 40000000080
1 5/1.05
556',' 1) il C H R R' .21 F
5'.62 R V m C I I F- R R y 21 F
9 -16 PF R AIMM V A R FK 5 10 F
9546' PF G VAR PK 5 19 F
9E5 °1 PF FX 1'11F0 61: 9PK I 99 F
9 "1 16 PF it R A 11 A N VAR P K 5 19 F
T f1;+,
.00 B H 1.. 23 23
MARSH SUPF.RrInRKET 480
1960 E GRE'nIOUNO PASS
CARMEN_. I N 1 603 2
31 7 S 7 1 -'I
I T CREDIT F' U Rl' H A'S E 09/1 10 09:15 AM
CA ff Xx H X'X; x x X x YAW
A UT H 0 0 1 5 C 9
P A Y M I.:. N T A H 0 J W 2 2 3
VF C RE C, I 1 23
C H P. N 6 E .00
TOTAL. NUMPER OF I I DDS SOU) 1 3
9/1 ';:/l 0 9 5 AM 0080 08 A17 116
THANK 1r OU FOR SHOPPING AT MARSH
YOUR CASHIER WAS EL.OYNE
IS 41 W1,TH MARSH
L OL); P MGR MIKE OOSSERMAN
-JORC
K N 0 1.-.1 H 1) IJ WE AR 0 0 1 N G
WE VALUE YOW
CHECK LIS DUT: fi.itp://wwmi.marsh.net
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
Kurt Anderson
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/18/10 n/a water /graham crackers and koolaid for Storm water $23.23
education supplies (Safety Day)
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
Kurt Andprgnn IN SUM OF
Engineering Dept.
$23.23
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 9/18/2010 206- 4462838 23.23 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
2� 20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund