197342 05/11/2011 CITY OF CARMEL, INDIANA VENDORS 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 CIO MAYOR'S OFFICE CHECK AMOUNT: $97.97
CIO MAYORS OFFICE
CHECK NUMBER: 197342
CHECK DATE: 511112011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 5.97 FESTIVAL /COMMUNITY EV
1205 4351000 92.00 AUTO REPAIR MAINTEN
�mb
iRi �t �t�D�'C. Right i'fiCe. CU�����i E
g g
1217 S. RANGELINE RD.
317-895 -4815 0v 3
YOUR CASHIER WAS SELF CHECKOUT
KRi1GF.R PLUS CUSTOMEF'. yY.4f *591
3 O i,99
HOM M TY ICE 5.97
I Fly, 0.00 C
TA:{ EXEMPTION 0 00
k BALANCE 5.97
0<i 01 u959
1 1217 S. RAHGELINE RD,
CARMEL. IN 46032
�P.rrchasN
TOTAL: 5.97
P,Efit O X0008
VISA 5.97
CHANGE 0.0
TAI_ NUMBER OF ITEMS 501_1 3
/06/11 09: 11 am 959 82 15
April Fuel Points remaining a 170
Redeem 100pts to save .10 per gal
an 1- fill -uR•
ich month'is a separate accumulati
.Period. Points do not combine.
These points expire 5/31/11.
Ik iF lF�tt lF �E i11F�f i(if #iF *iE #;cif *iI IFR *�i #IF�p�f ��i
May Fuel Points
Jw <edeem Fuel Faints at Kroger- fo
Centers 8 PariiciF)atinq Shells!
Redeem 100Pts to save 10 Per gal
Save up to $l Per qal at Kroger OR
10 Per qa) at Shell on I fill tip.
Fuel Points this order 6
uel Points earned this month 61
_ach month is alsePar to acc@mulaiion
1 period, Pre iox,s and Cor,rent nenths
Points do not combine,'
Highest wiredeemed discount from 'Iasi
CR current month wJll app I� -j at puma.
',is months points expire 6 /30/11.
f, Store for Details RFstrictions.
Or Visit Www.kroger,ccm
45f:E WHF)T YOU ARE SAVING TODAY-
:iJ'NG YOUR KROGER PLUS CARD,YOUfi
SAVINGS TO DATE IS $92 78
1'11ANK YOU FOR SHOPPING KROGER
USTOMER SERVICE IS EVE'iMNE'S JOB.
E4. ME KNOW -HOW WE ARE OUING.
CHARL BEGHEL, MANAGER I
VOUCHER NO. WARRANT NO.
ALLOWED 20
M I yor Jim Brainard
/7/ IN SUM OF
One Civic Square W E
Carmel, IN 46032
$5.97
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# l Dept. INVOICE NO, ACCT #(TITLE AMOUNT Board Members
1160 Receipt 43 590.03 $5.97 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
Monday, May 09, 2011
4 ayor
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))
05/06111 Receipt $5.97
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
CUSTOMER COPY INVOICE
Date Order
J 04/26111 353949
Auto- x -10'd, IncAN37 I Z�_
6155 E 86th St. Suite C
Safes ID; JAX
Indianapolis, IN 46250
Phone 317- 577 -9192 Fax 317- 841 -0426
c Dept Of Admin. City Of Carmel
u 1 Civic Square
S
T Carmel, IN 46032
0 Customer Phone 3175712403
M
E
R
CUSTOMER TYPE: Retail BRANCH CUST. AR#
P.O. FLEET MASTER BILLING NO. BATCH
DELIVERTO: tax #0031201550
MFGR ODOMETER
VEHICLE I.D. /SERIAL NO. 7KJ17070 UNITI STOCK NO. DATE READING
YEAR 2007 MAKE, MODEL COLOR mercury Mariner Maroon
Oty. Description Part Warranty Amount
60 INNER GUARD *INNER GUARD 75.00
75.30
D
MAY 0 9 2011
By`
SUBTOTAL 75.00
Sales Tax 0.00
Total 75.00
CASH ON ACCOUNT CHECK BANKCARD REM CARD
75.00 C
I HEREBY AUTHORIZE THE WORK SHOWN TO BE DONE ALONG WITH THE NECESSARY MATERIALS AND AGREE THAT YOU ARE NOT RESPONSIBLE
FOR LOSS OR DAMAGE TO VEHICLE OR ARTICLES LEFT IN CASE OF FIRE, THEFT OR ANY OTHER CAUSE BEYOND YOUR CONTROL, AN EXPRESS
MECHANICS LIEN IS HEREBY ACKNOWLEDGED ON THE ABOVE VEHICLE TO SECURE THE AMOUNT OF SERVICE HERETO-
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1205 I 353949 k 43- 510.00 I $75.00 1 hereby certify that the attached invoice(s), or
f 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
Monday, May 09, 2011
r
Director, Administrat on
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 291 (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))
04/26/11 353949 $75.00
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
Mike's Carmel
1250 Rangeline Road
317- 571 -1929
B29PTT4
04/26/2011, 11:34 AM, Shift 1
Empl 1748, Sale 80770051075
_WORKS 15.00
TIRE SHINE 2.00
Subtotal 17.00
Sales Tax 0.00
Total 17.00
Cash 17.00
W p
�c
D
CC
o )205
CD
T a r choosing
Mike's!
mi.kescarwash. coin
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mayors Petty Cash
IN SUM OF
$17.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. I ACCT #frITLE AMOUNT Board Members
1205 I 042611 Wash I 43- 510.00 I $17.00 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
Monday, May 09, 2011
Director, Administration
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))
04/26/11 042611 Wash $17.00
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