192442 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
ONE CIVIC SQUARE ANN GALLAGHER CHECK AMOUNT: $228.03
CARMEL, INDIANA 46032 171 PARKVIEW COURT
CARMEL IN 46032 CHECK NUMBER: 192442
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
852 5023990 228.03 OTHER EXPENSES
Michaels 9951
Custom Framing Order REPRINT
14670 US Hwy 31 N QUICK SALE
Carmel, IN 46032 -1391 Order 47353
(317) 580 -9200 Quantity: 1 11129/2010
Gallagher, Ann 317 571 -2720 Taken By: Charles Robinson
Date Ordered: 1111212010
3 Civic Square El timated Date: 1112612010
Friday
Bin In:
Carmel IN 46032 14:35:45ver4.1 Bin Out
Imagg Size: 23 -1/2 X 16 -1 Regular Sale
Carmel Police Chief Fogarty Photo /vintage /no Neg Zg 1/4 V.2241 4 Price Price
Ok Total-Size
Mats color Number Expos Top Left Right Bottom
TopMaf Light Olive B8039 2 -112 2 -112 2 -112 2 -112 2 -112 52.30 22.49
2ndMat Navy Blue C5522 318 2 -718 2 -718 2 -718 2 -718 52.30 22.49
.Frames Style Width Height Vendor UI Location
Custom us29273 29 -114 22 -114 090 0.00 246.40 105.95
Supplies
GLASS Masterpiece 120.00 51.60
MOUNT Preservation 31.30 13.46
F ITTING FINISH 3116 Acid Free 7.00 3.01
Miscellaneous Multiple Opening Rect. 6 21.00 9.03
ComiInents
Subtotal: 228.03.
'Quantity:.:':...7
Tax: 1 6
Total:
1 understand Alrchaels collects information about me when ]place an framing order. This information may include, my name, mailing address,
e -mail address, or phone number. It may also include any other personal or preference information I provide. I consent to Michaels and its
7
related affiliates using this information to share special opportunities and offers that may be of interest to me. I understand that I may withdraw
my consent to use of this information at any time. NOTE: CUSTOAIER IIEREBYAGREES THATATICIIAF.LS' TO T4 LIABILI TY FOR A NY
LOSS OR &1.41A Gl:' TO CUSTOMER'S PROPERTY SHALL NOT EXChTD ,5 250,A ND AIICIIAELS SHALL_ IIA VF. R'O LIABILITY FOR ANY
PROPI:RTYLET'T OVER 60 DAYS I ROM TODAY.
Customer Signature Date Pickup Signature Date
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Create a banking report Description: CHECK CARD PURCHASE MERCHANT PURCHASE
TERMINAL 438775 MICHAELS 9951 CARMEL IN 11 -12-
10 SEQ 031727004010
Amount: $228.03
Transaction Type: WITHDRAWAL
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[aMK=
LEADER
https: /cibng.lbanking- services. com/ cib/ CEBMainServlet /TransactionDeta] l 11/29/2010
VOUCHER NO. WARRANT NO,
ALLOWED 20
Ann Gallagher
IN SUM OF
171 Parkview Court
Carmel, IN 46032
$228.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
852 852.00 $228.03 1 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
ri ay, December 03, 2010
hief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 invoice(s) or bill(s))
11/29/10 Frame Chief $228.03
1 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