HomeMy WebLinkAbout197723 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 357005 Page 1 of 1
t ONE CIVIC SQUARE DAVID LITTLEJOHN
CARMEL, INDIANA 46032 CHECK AMOUNT: $197.44
4840 N. GUILFORD AVENUE
INDIANAPOLIS IN 46205 CHECK NUMBER: 197723
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 197.44 OTHER EXPENSES
light slom Do t Price.
i
1217 S. RANGELINE RD.
317 896
YOUR CASHIER WAS CHRISTY
KROGER PLUS CUSIOMER *49
GRN TBLCOVER PC 1.99 T
SC PLUS CARD SAVINGS 1.50
GRN TBLCOVER PC 1.99 T
SC PLUS P CARD I1 SAVINGS 11.50 2.501T
KRO SC PLUS CARD,SAVINGS 0.37
KULU MXD FRI PC 3.99 F
SC KVLU CA R F
DSA SAVINGS 100 3.99 F
SC PLUS CARD SAVINGS 1.00
GRN-TBLCOVER PC 1.49 T
SC PLUS CARD SAVINGS 1.50
GRN TBLCOVER PC 1.49 T
SC PLUS CARD SAVINGS 1.50 3 89 F
KRO ORNG JCE 3 89 F
KRO ORNG JCE 3.89 F
KRO ORNG JCE 3 89 F
KRO ORNG JCE
AQUAFINA WTR PC 3.79 F
SC PLUS CARD SAVINGS 0.50
AQUAFINA WTR PC 3.79 F
SC PLUS CARD SAVINGS 0.50 2 F t
KRO WOT,ER 2 79 F I
KRO WATER
6.29 lb 0.54 /lb 3.40 F
WT BANANAS
5.60 lb 0.54 /lb 3,02 F
WT BANANAS
5.79 lb 0.54 /lb 3.13 F
WT BANANAS
5.24 lb 0.54 -'lb 2.83 F
WT BANANAS 0.69
TAX
TAX EXEMPTION 0.69
BALANCE 57.54
021 KROGER #959
1217 S. RANGELINE RD.
CARMEL IN 96032
urchase
TOTAL: 57.54
REFIT: 067762 i
57.54
EXEMPTED SALES AMT 8.46
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD 19
KROGER SAVINGS *'a*
KROGER PLUS SAVINGS 9.37
TOTAL SAVINGS (14 Pct.) *9.37
KROGER SAVINGS
05/19/11 03:OlPm 959 12 19 108
.......rvvVr......... Y.........1(�Yii14Yg
Einstein Bros Bagels
Store 2280 PH: (317) 848 -9888
5/20/11 5 :42:05 AM
Order Number: 1873509
Take Out
Cashier: ATKINSON
Register: 1
4 Bagel Bucket 2 CC 55.96
13+ MIXED BAGELS
Jalpeno Salsa CC Tub
Plain Lite CC Tub
2 Dozen Bagels 19.98
13+ MIXED BAGELS
4 Darn Good Coffee to Go 63.96
Sub, Total: 139.90
Tax: 0.00
Total: 139.90
Discount Total: 0.00
Change 0.00
oil IN 139.90
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Card Num XXXXXXXX
Terminal 1L18909369001
Approval 060591
Sequence 057844
I agree to pay the above Total Amount
according to Card Issuer Agreement.
Signature:
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i9 �k� 4 0A e b,+ /?T li v
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
Lfq
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE MOUNT
DEPT. I hereby certify that the attached invoice(s), or
3 �S!'c9i11 t`�7i� 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 0
I
Si nature
03W 1MG,
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund