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161649 07/16/2008
CITY OF CARMEL, INDIANA VENDOR: 00351787 Page 1 of 1 +F ONE CIVIC SQUARE SHERRY S. MIELKE CHECK AMOUNT: $76.01 CARMEL, INDIANA 46032 3662 E CARMEL DRIVE CARMEL IN 46033 CHECK NUMBER: 161649 CHECK DATE: 7/16/2008 DEPA ACCOUNT PO N INVO NUMBE AMOUNT DESCRIPTION 1160 4355100 76.01 PROMOTIONAL FUNDS i rj i Prepa.P tor:. SHERRY S MIELKE May 2008 Statement Account Number Credit Line: $ Cash or C t Avarla r Promotional Posting Transaction Reference Account Payments and Credits Offer ID Date Date Number Number Amount 3 04/08 STATEMENT GAS REBATE 04/04. 04/03 7 24 CR PAYMENT ELECTRONIC 04/23 1.00 CR Purchases and Adjustments 04/04. Oa /02 71.73 MOM 1I PAYMENTS BY PHONE WILL BE MADE ELECTRONICALLY: YOU MAY AUTHORIZE AN ELECTRONIC PAYMENT BY PROVIDING THE AMOUNT, DATE, YOUR BANK ACCOUNT NUMBER, AND SECURITY INFORMATION. A FEE MAY APPLY. TO CANCEL, CALL US BEFORE THE SCHEDULED PAYMENT DATE. SAME -DAY PAYMENTS CANNOT BE EDITED OR CANCELED. PLEASE KEEP THESE TERMS. i e� 05 0054474200. 0096000000710000042642968 1 4350846 s Check here for a change of mailing address or phone number(s). Please provide all corrections on the reverse side. P.O. BOX 15721 WILMINGTON, DE 19886 -5721 ACCOUNT NUMBER: NEW BALANCE TOTAL: 2 0022002 17885 0805090002 USE211 00005 -06rrf PAYMENTDUEDATE: 05/28/08 Eller PaymentAmuu& Enclosed SHERRY S MIELKE 3662 E CARMEL DR CARMEL IN 46033- 4317 -621 Mail this payment coupon along with a check or money order payable to: SERVICES 1: 5 240 2 2 2 501: 0881368 ILI350846116 i STATE OF INDIANA SS: COUNTY OF HAMILTON AFFIDAVIT I, Sherry Mielke, Director of Finance, personally expended the following sum of money for an organizational lunch meeting with Hirons and Company and Alexander Talbott employees for which I need to be reimbursed. The subject of the meeting was the Artomobilia event. 4/24/08 76.01 (From Bazbeaux Pizza: two (2) large pizzas and 4 sub sandwiches) TOTAL J76.01 Dated this 11th day of June, 2008. Sherry S. Miel e Subscribed and sworn to before me, the undersigned Notary Public, this day of 1 2009 My Commission Expires: [eb:=word:z:U'o=\affadivitlunch 06 30 04.doc:6 /10/08] Pres cribed 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 13k� r v4 i_4 I 1 IC_e Purchase Order No. .3f.e[� E. Cc, rfvL10_t Terms C army I ,I(so 33 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) �.t o 0;T' s L-t"C' Y I t 0-S, e CL .r 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. ALLOWED 20 IN SUM OF �•e Z N y ca-o 3 3 `7ck ©I ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or CPC 5 Do 76 o I 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 r u ©T A Cost distribution ledger classification if Title claim paid motor vehicle highway fund