164882 10/16/2008 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: $63.99
C/O MAYOR'S OFFICE
CHECK NUMBER: 164882
CHECK DATE: 10/16/2008
DE PARTMENT A CCOUNT PO NUMB IN VOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 4.00 PROMOTIONAL FUNDS
209 4464000 59.99 OFFICE EQUIPMENT
E
�YO✓Y C i D
I
i
V The rmacy America Trusts Since 1901"
I'm REBECCA. Thank you for allowing me
to serve you today.
210 10 6097 03231 003
RFN# 0323-1036-0974-0809-3020 V l
CARMELS11OZ /STCK6S 1.50 SALE
CARMELS11OZ /STCK6S 1.50 SALE
1 3.00
CARMELS1 S110Z /STCK6S 1.50 SALE i
CARMELS11OZ /STCK6S 1.50 SALE
1 9 2/ 3.00
CARMELS11OZ /STCK6S 2.00 -MFGC
4 C .50
TOTAL 4.00
DEBIT CARD 4.00
CASH BACK. .00
'JAG ADVERTISED SAVINGS: 2.00
MFG COUPON SAVINGS: 2.00
YOUR TOTAL SAVINGS: 4.00
III I Ilii I i II I III I it I II III I IIII I II I III III II I III i II I I lii I III I I III I III
1215 S Range Line Rd Carmel, IN Ak�/ D S
STORE (317)571 -1176 �l� l
OPEN 24 HOURS S
THANK
FOR FASTER SERVICE, CALL IN YOUR V l
PRESCRIPTION ORDER OR PLACE IT ON
WWW.WALGREENS.COM 24 HOURS IN ADVANCE
WALGREENS PRESCRIPTION SAVINGS CLUB
SAVE ON OVER 5,000 NAME BRAND D� v
D D
AND GENERIC MEDICATIONS. l
PLUS, PAY $12.00 FOR A 90 -DAY SUPPLY
OF.OVER 400 GENERIC MEDICATIONS.
ASK HOW MUCH YOU CAN SAVE TODAY!
WALGREENS #3231
SEQ 323103110
CARD# *8067
SEQ #.323103110 PAYMENT FROM PRIMARY
RETAIN THIS RECEIPT FOR YOUR RECORDS
SEPTEMBER PM
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
10/13/08 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 Mayors 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))
9/30/08 Recei t Candy Chamber of Commerce "Tailgating after Hours" $4.00
event on 10/2/08
Total $4.00
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.
10/13/08
ALLOWED 20
Petty Cash Mayors
IN SUM OF
One Civic Square
Carmel IN 46032
4.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayors 4355100
Promotional Funds
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Receipt 4355100 $4.00 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
Signat re
Cost distribution ledger classification if
Tit e
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
Mayor's Petty Cash Fund
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10 -13 -08 Reimburse Mayor's Petty Cash Fund for purchase of $59.99
intercom system from Radioshack on 9-22-08 per
the attached Receipt No. 265405
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
1
VOU"HER NO. WARRANT NO.
ALLOWED 20
May is Petty Cash Fend IN SUM OF
$59.99
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND
440 -64000 Office Equipment
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
209 $59.99 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
2008"
i nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund