191566 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 364869 Page 1 of 1
ONE CIVIC SQUARE BRYON SINN CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032 140 MAPLE PARK DR APT 6
WESTFIELD IN 46074 CHECK NUMBER: 191566
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 102910 78.12 OTHER EXPENSES
651 5023990 102910 46.88 OTHER EXPENSES
Thank you for shopping at Merrell
Carmel
Merrell Carmel
14405 Clay Terrace Blvd.
Suite 130
Carmel, IN 46032
317 573 -0065
10/29/2010 03:44 PM 1001/5/16033
3175231359
BRYON SINN
140 MAPLE PARK DR #6
WESTFIELD, IN 46074
Regular Sale
ISOTHERM 6 WTPF, in ESPRESSO
J85149 8.5 M 1 125.00
Subtotal: 125.00
Total: 125.00
I Cash 125.00
Items Sold: 1
TAX EXEMPT# 0031201550 -010
Returns only within 30 days.
Merchandise must be in original
condition.
VOUCHER 106470 WARRANT ALLOWED
T9,949 IN SUM OF
SINN, Bryon
Carmel utilities
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
102910 01- 7200 -07 $46.88
i
Voucher Total $46.88
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form fro. 201 (Rev 195)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
Performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T9949
SINN, Bryon Purchase Order No.
Carmel utilities Terms
Due Date 11/112010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/1/2010 102910 $40.88
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 -1.0
Date Officer
VOUCHER 103241 WARRANT ALLOWED
T9940 IN SUM OF
SINN, BRYAN
Carmel Utilities
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
102910 01- 6200 -07 $78.12
5�
Voucher Total $78.12
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER <<y
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T9940
SINN, BRYAN Purchase Order No.
Carmel Utilities Terms
Due Date 11/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/1/2010 102910 $78.12
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
it A5 C °'l' -o�
Date Officer