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164239 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 355466 Page 1 of 1 ONE CIVIC SQUARE KEITH FREER CHECK AMOUNT: $750.43 CARMEL, INDIANA 46032 1413 NN FAIRVIEW as ST CHECK NUMBER: 164239 CHECK DATE: 9/30/2008 DEPARTMENT ACCOUNT PO N INVOICE NUMBER AM DESCRIPTION 851 5023990.. 750.43 OTHER EXPENSES E i Y GFS F r t r c Inds-Shadeland 2370 N. Shadeland Indianapolis, IN 46226 (317) 358 -0620 www.sfs.com 75 1.39 1 -16CT HOT DOG GUN 119.25 6058910 15 26.99 Beef Franks 8 /lb 2 401.85 4173500 Oreo Cookies 6-52, 39.99 8371050 Chips Ahoy! Cookie 50.99 4861310 2 6.79 Chips Ahoy! Cookie 13.58 1861311 2 5.99 Oreo Cookies 1--52, 11.98 8371051 3 9,29 Napkin Lunch 1Ply. 12.87 T 4988831 .3 10.99 Foil Sheets 9x10.7 32.97 T 1771991 2@1.99 Poly Gloves L.rs 1- 9.98 I 5292731 TAX 3.91 BALANCE 725.37 t.. % AM[l) KuWI01180905167 09115Z S5 MasterCard 37 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD 104 09/18/08 10:56am 148 5 2810 34065 1111111111111151111111111 11111111111111111111 80041800528100809181056 Store 918 Lane 5 T•ansaction 2840 Operator 34065 For your Tailsatins Parties! Ask about our exceptional food and tailsate party products For the location nearest you: www.sfsmat.ke Higher St ndnrds M X I W Lowe, Prices Mercantile Blvd, Noblesville, IN 230 {317) 774 -7800 meljer.cem The Meijer Team appreciates your business 09/18/08 Your fast and friendly checkout was provided by janet GENERAL MERCHANDISE 1413700005 BINGO MARKER 2 1.79 3.58 CT 1413700006 BINGO MARKER 2 1.79 3.58 CT 1413700009 BINGO MARKER 2 1.79 3.58 CT 1413700033 BINGO MARKER 3 1.79 5.37 CT 1413700034 BINGO MARKER 3 1.79 5.37 CT 1413700038 BINGO MARKER 2 1.79 3.58 CT GROCERY w34a00IIO246� --6e F TOTAL QU TOTAL TAX 1.7r� PAYMENTSAL 27. NUMBER OF ITEMS 15 111111111iliiiliiiillllilili lllliliillilllilll IIIlflliiliiifillliliilililiihli A023002SE883X1_S Tx:112 Op:392 Tm:13 St:230 17 :45:20 HOW ARE WE D0TNG? Rate bur Shopping Experience and Vou May Win a $1000 Meijer Gift Card! Visit us at www.tnei or call 1- 888- 634 -5371 Survey should be completed within 72 hr's Shop for more me i j er com 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)) I Total ESQ .v.3 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 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or ,t 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 SPP 2 �no8 gignature Cost distribution ledger classification if Title claim paid motor vehicle highway fund