HomeMy WebLinkAbout198564 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365415 Page 1 of 1
ONE CIVIC SQUARE JEFF HOU
r; CARMEL, INDIANA 46032 5877 SANDLEWOOD DRIVE CHECK AMOUNT: $52.45
CARMEL IN 46033 CHECK NUMBER: 198564
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CHECK DATE: 6/2212011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 REIMB 52.45 PROMOTIONAL FUNDS
WMALIA #20,6 0"MALIA #206
4755 E. 126TH ST. 4755 C. 1261H ST
CARMEL, IN 46033 CARMEL, IN 46033
(317)844• 4372
(317)1144-4372
8485 U.1-10c cl Cll I c,
8162 DR, IC(l SGR COOK 1,
4173 SUGAR C-100klES F C
6 5 CHOC (JIP CKI C
PEPPER 24 Pk 2 70-11 1 "R7( .00 B
11•W 2 i C 1.11 b9 B I
-14 DEW 2*1 2,70-B :MER NOMBER "C; 7
P i -PST 2 1 F K 9
:T PEPS I 24PK 2.70 8
07 SUGAR (,OOKIES
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C 3162 DIET PEPS L 24PK 2 .70 B
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YOU 0 3HVED
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ON YOUR ORDERJONY-
***..YOUR SAVINGS
,-x OG hH1 9t b6 COUPON PLUS SAVING.S
TOTAL SAVINGS 1 2%
x 00 BAL 00 YOUR SAVINGS
4206 THANK YOU FOR SHOPRINE
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Jeff Hou
IN SUM OF
5877 Sandlewood Drive
Carmel, IN 46033
$52.45
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1160 Receipt 43- 551.00 $41.66 1 hereby certify that the attached invoice(s), or
1160 Receipt 43- 551.00 $10.79
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
Friday, June 17, 2011
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
03/20/11 Receipt $41.66
05/24/11 Receipt $10.79
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