HomeMy WebLinkAbout202034 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 364386 Page 1 of 1
ONE CIVIC SQUARE KURT ANDERSON
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $21.95
CHECK NUMBER: 202034
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4462838 21.95 STORM WATER PHASE II
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More value for the
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I 1217 S. RANGELINE RD.
317 -846 -4
YOUR CASHIER 14AS SELF CHECKOUT
PF GOLDFISH 4.99 F
KROGER PLUS CUSTOMER *0843
3 4.99 14.97 F
PF CRACKERS 1.99 T
TABLECOVER
BALANCE 22.09
*i;* *529
REFV 000000
PURCHASE: 22.09
CASHBACK: 0.00
TOTAL: 22.09
D1:BIT 22.09
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD 5
09/13/ U1 :50Pm 959_80 41 =9_9 f
C ONE R OF 'TO 20 WIN
9:100 GIFT CARDS
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a 0ut your recent visit to Kroger
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Yo.: Iwed
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
}LJ� fi gJ anm Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
D" Number (or note attached invoice(s) or bill(s)) J
V
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