195166 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $19.14
s CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE
C/O MAYORS OFFICE CHECK NUMBER: 195166
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4239099 PETTY CASH 19.14 OTHER MISCELLANOUS
r® Aw r
Right Store. Right Price.
1217 S. RANGELINE RD.
317- 816_.1818
YOUR CASHIER WAS ELLEN
KRO WATER 3.19 F
KRO WATER 3.19 F
KRO WATER 3.19 F
KRO WATER 3.19 F
KRO WATER 3.19 F
KRO WATER 3.19 F
TAX 0.00
*x BALANCE 19.14
CASH 20.00
CHANGE 0.86
TOTAL_ NUMBER OF TTEMS SOLD 6
02/22/11 09:00am 959 9 65 130
ENTER TO WIN
ONE OF 20
$100 GIFT CARDS
You are invited to comPleie a survey
about your recent visit to Kroger
Answer b�j iniernet
www.te11kroger.com
You need this receipt to respond.
Surve�j Entrj Code 021 999
tit *nr���ir pit *if��� *rt *��itiErtrt *rtrf�r�*
THANK YOU FOR SHOPPING KROGER
CUSTOMER SERVICE IS EVERYONE'S JOB.
LET ME KNOW HOW WE ARE DOING.
CHARL BECHEL, MANAGER
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Let yo vaelf shine.', 5uAianiky.C6m,_.
Limit one per customer. Valid on any level, equipment may vary by salon.
See salon for further details. Coupon expires 0531.11 47263
ATTENTION CASHIERS: START THIS TAPE 01/20/11 RTLII, L.P. 02011
V6'in 'B ers'l�eee I O
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317-8 44 4-64 Purchase of
1254501 11N eridian St u $20.00 or more. o
(Across From Meier Shopping Ctr.) I Food purchase onlyy. Not valid with anyy other m
W W W.staeltedplc e.Com 1 offer. feDlres K 460
12 =50 "PLASMAS 8 2 ;90 "`PH�JECr07�� OR 1"YdiTR'$FOfC1g 1. n
12 DRAF FLAVORS a FAMILY FRI
Buy One Dinner Entree
's
Get a 2nd Dinner Entree
(of equal or lesser value)
for 1
RESTAURANT R1T /2 OFF o
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Vali for Dinner only t
(Uplo a$10.00.value) r. a
Carry Out Menu
Lunch Offer: z
12150 N. Meridian St 0
Carmel, IN 46032 $x'00 Off Per Person ti D
u -..:r tai
317 -580 -0828 mlt one upon per ta
Not mild with any other offer. &pins 05115/11. KRO959JFM
U L 'TO MATE
o
WORK@ INOLU9601 SAVE $4! o
o Warm Water Wash o Undercarriage r
o Clear Coat Polish Bath o
e Clear Coat Sealer o Wheel- Bright
o Rust Inhibitor *Rain -X $2 Extra
z
431 ER Carmel ®r. IU@ t® p ®sQn@
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
l
ca Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Ali 6 n OM
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.
.11 ALLOWED 20
IN SUM OF
1 4
ON ACCOUNT OF APPROPRIATION FOR
�fluyy
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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund