166248 11/24/2008 a CITY OF CARMEL, INDIANA VENDOR: 00351325 Page 1 of 1
ONE CIVIC SQUARE DAVID HUFFMAN
CHECK AMOUNT: $61.34
CARMEL, INDIANA 46032 C/O STREET DEPARTMENT
C/O STREET DEPARTMEN CHECK NUMBER: 166248
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 '4358300 61.34 OTHER FEES LICENSES
CARMEL RETAIL STORE
CARMEL, Indiana
460329998
1740350814-0096
11/12/2008 (800)275-8777 03:38:47 PH
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
INDIANAPOLIS IN $1.34
46204 Zone-1
First-Class Large
Env
3.70 oz.
Issue PVI: $1.34
Total: $1.34
Paid by:
CaQ.h $2.00
Cht [xie: -$0.66
Order stamps at USPS.com/shop or
call 1-800-Stamp24. Go to
USPS.com/clicknship to print
shipping labels with postage. For
other information call
1- 800 ASK -LISPS.
Bill#:1000400966296
Clerk:22
HELP US SERVE YOU BETTER
Go to: http://gx.gallup,com/pos
TELL US ABOUT YOUR RECENT
POSTAL EXPERIENCE
YOUR OPINION COUNTS
Customer Copy
MONEYGRAM PAYMENT SYSTEMS, INC. DRAWER
P.O. BOX 9476
MINN.EAPOLIS, MN 55480
PLEASE READ REVERSE SIDE W' w.moneygramxom DATE/AMOUNT
9�8
Le
BO 0
EMPLOYEE
860 (10/06) 7000
5759640685F7] M 9225
v VOETACH HERE v v
1
_Olft Certificates: Merchant on the
PAY TO THE ORDER fine
Purchaser's Proof of Purchase
It is the purchaser's responsibility to keep a copy
of this stub for their records. A Claim Card is
REOPIRED to process a claim on a lost or stolen
money order. Claim Cards may be downloaded
from our web site at www.moneygram.com or
Irom the location where the money order was pur-
chased or any NtoneyGram money order agent.
Complete the entire form and mail it with a copy
of this stub to the address on the claim card.
Para recibir esta informacidn an espanol,
por favor llamar at 1- 800 -542 -3590.
VOUCH NO. WARRANT NO.
ALLOWED 20
Dave Huffman
IN SUM OF
$61.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
2201 43- 583.00 $61.34 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
Thursday, November 20, 2008
Street Co 'ssioner
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))
11/12/08 $61.34
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
2D
Clerk- Treasurer