167152 12/17/2008 I
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: $5.33
s sy ro .o� C/O MAYOR'S OFFICE CHECK NUMBER: 167152
CHECK DATE: 12/1712008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 5.33 FESTIVAL /COMMUNITY EV
i
t
r
The
Pharmacy America Trusts Since 1901"
I'm Audrey. Thank you for allowing me
to serve you today.
512 10 4246 03231 003
RFN# 0323 1034 2482- 0812 -0920
COKE CLSC 2L A 1.34 SALE
AQFNA 16.90Z 24S 1 5.99
AQFNA 16.90Z 24S 1 WAGC
SUBTOTAL 5.33
A =7% SALES TAX .09
TOTAL 5.42
AMEX 5.42
ACCT *1017
CHANGE .00
3 s yoo
AG COUPON SAVINGS: 2.00
IAG ADVERTISED SAVINGS: .15
'OUR TOTAL SAVINGS: 2.15
IIIII III 111111 III II IIII II III Ililli 11 II III IIi III II
15 S Range Line Rd Carmel, IN
STORE (317)571 -1176
OPEN 24 HOURS
THANK YOU
FOR FASTER SERVICE, CALL IN YOUR
PRESCRIPTION ORDER OR PLACE IT ON
WWW,WALGREENS.COM 24 HOURS IN ADVANCE
WALGREENS PRESCRIPTION SAVINGS CLUB
SAVE ON OVER 5,000 NAME BRAND
AND GENERIC MEDICATIONS.
PLUS, PAY $12.00 FOR A 90 -DAY SUPPLY
OF OVER 400 GENERIC MEDICATIONS.
ASK HOW MUCH YOU CAN SAVE TODAY!
RETAIN THIS RECEIPT FOR YOUR RECORDS
DECF ^Q 1 :24 PM
h
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
12/15/08 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
Petty Cash Mayor Purchase Order No.
One Civic Square Terms
Carmel In 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/9/08 Receipt Chamber of Commerce "Arrows" Event refreshments $5.33
Total $5.33
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
VOUCHER NO. WARRANT NO.
12/15108 ALLOWED 20
Petty Cash Mayor IN SUM OF
One Civic Square
Carmel IN 46032
5.33
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4359003
Festival /Community Fvents
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Receipt 4359003 $5.33 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
20
Signa
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund