156396 02/11/2008 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK AMOUNT: $15.16
C/O MAYOR'S OFFICE CHECK NUMBER: 156396
CHECK DATE: 2/11/2008
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359000 15.16 REISSUE CK 132576
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Office of the
Clerk- Treasurer
January 18, 2008
Mayor's Office
On December 14, 2005 the city of Carmel issued check number 132576 ,to
your department in the amount of $15.16. Our records indicate that as of
January 1, 2008, the check has not been cashed. If the check has been lost
and you would like a reissue, please notify us by returning this form by
February 1, 2008. If there is no reply by the date specified, payment on the
check will be voided.
For reissue please check here and return this form to the Clerk's Office.
If you have any questions, please contact me at (317) 571 -2429.
Thank you,
Jean Belcher
Accounts Payable Administrator
ONE CIVIC SQUARE CARMEL, INDIANA 46032 3 17/5 71-2414
CITY OF CARMEL, INDIANA VENDOR: 00350363 Page .1. of 1
6 ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $15.16
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE
o C/O MAYOR'S OFFICE CHECK NUMBER: 132576
CHECK;DATE: 12114/2005
DEP ARTMENT ACCOUNT PO-NUMBER INVOICE NUMBER AMOUNT DESCRIPTION--
11`60. 4359'000', 15.16.SPECIAI; PROJECTS
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PANU Bl 1066
'IA' 'AST 116TH ST
BAST
PRONE 31*1-566-0440 FAX 311-666 844
PANERA BREAD 46032
Store: ff 11 PANERA
Check: 0044. 11/2'2/05 7 >`?Ail
Server: 00063/miss
OlY ITEM UPRICI "AjB "011
BEAR CLAW 1.69 3A0
GOFFEE CAKE 5,89 11
SUb Total
GRAND TOTAL is '1
Cash Tendered U'S"D 20. ()0
Change 4 .8 4
k-01 by 00063/missy
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CALL AND TAKE OUR SURVEY
ANI) 'i'OU MAY WIN 2000 DOLLARS!
GO TO WWW.PANERASURVF.Y,COM
OR CALL 1 1-67(-467'- 54 "W"l. 1 N 48 HRS
RULES Al WWW.PANERAlQUPVEY,COM!
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))
12- 3a 5-24
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f
F
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. C If
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
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
200Y
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
4
CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK AMOUNT: $21.79
C/O MAYOR'S OFFICE CHECK NUMBER: 155860
CHECK DATE: 1/23/2008
DCPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343001 18.00 TRAVEL FEES EXPENSE
I160 4355100 3.79 PROMOTIONAL FUNDS
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a a clay eck 5
the wptcapi+ indianapoh.�
avenue indlanapoIls, Indiana 46204
50 so phon e�i /Indianapolis
N ert result of fire, flood. theft.
hotel is n
The ot liable for as a loss or damages [o the p op y
ordinary or gross negligence. or otherwise, except for loss or damage caused by intentional
misconduct on the part of the hotel or its employees.
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1
VOUCHER NO. WARRANT NO.
ALLOWED 20
rru� 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
bill(s) is (are) true and correct and that the
Gem Ll 3E 3 .q 0 1 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sign ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
FnqP-A ni Purchase Order No.
t,
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/1 3-/ 0S ece_' -I- K e h r Con Ca c fZW 3 3 1
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