HomeMy WebLinkAbout204797 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 360001 Page 1 of 1
ONE CIVIC SQUARE DWIGHT FROST
CARMEL, INDIANA 46032
CHECK NUMBER: 204797
CHECK DATE: 12120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 9.98 OTHER MISCELLANOUS
r
CVS/pharmacy"
5605 N. POST RD. INDIANAPOLIS, IN
PHARMACY: 547 -2926 STORE: 541 -2942
REG402 TRN #7890 CSHR 40120196 STR #6585
ExtraCare Card 1t: *3597
1 CRAY BROAD MK 7722 3.99T
1 EXPO 2 CHSL M 4CT 5.99T
2 ITEMS
SUBTOTAL 9.98
IN 7.0% TAX .70
TOTAL 10.68
CASH 11.00"
CHANGE .32
1111111111111111 I1 11 111111111111 III III
2506 5851 3407 8900 25
RETURNS WITH RECEIPT THRU 02/04/2012
DECEMBER 6, 2011 12:09 PM
Earn 22 back on almost everything
in the store and on cvs.com
when you use your ExtraCare card.
THANK YOU. SHOP 24 HOURS AT CVS.COM
-CVS /pharma&%%V%Jr
Flu shots are available in every
CVS store with a Pharmacy, every
day. No appointment necessary.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dwight D. Frost
IN SUM OF
V
C
I
ON AC( J FOR
C2 it
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1110 42- 390.99 $9.98
hereby certify that the attached invoice(s), or
I
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
Thursday, December 15, 2011
Chief of Police
Title
Cost distribution ledger classification if
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12106111 reimburse Lt. Frost for dry erase markers $9.98
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