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205257 01/05/2012
CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1 ONE CIVIC SQUARE PETTY CASH 1! CHECK AMOUNT: $16.74 CARMEL, INDIANA 46032 C/0 MAYOR'S OFFICE «o C/O MAYOR'S OFFICE CHECK NUMBER: 205257 CHECK DATE: 1/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1401 4239099 122811 16.74 OTHER MISCELLANOUS e a S erf'� S C I r r I Mlor -4-- -rem I ut f` ®r t 1» west-i =I CIO 1. 1 VIL 1217 S. �ANGELINE IRD, 317 -2346 -1318 YOUR CAS•IIER WA>. SFLF CHECKOUT 6 L 2.79 KRO WATER 16.74 F TAX 0.00 xrx BRLAN:E: 16.74 CASH 20.00 CHANG 3.26 10IF,L NUMBER OF TTEMS SOLD 6 12;223/11 06:27am 959 83 2 999 ENTER TO WIN ONE OF 20 $100 GIFT CARDS You are invited to complete a survey about Ynur r =cent visit to Kroger Rnswe b4 internet 0 www.tellkroser.com You deed his receipt to respond. Survew E Itr�l Code 021 999 k *k *N ii #k *It *K THANK YOU FOR SHOPPING KROGER CUSTOMER SERVICE IS EVERYONE'S JOB. LET ME KNOW HOW WE ARE DOING. L HECHEL, MANAGER a Pr=cor= C= Cm=iooc�r�0< *w n p p ��TM APPOINTMENT Q d. GI T '1. A NECESSARY 0 SERVI I SIGNATURE ®6 L CHANGE KRD959DRD With coupon. Offer appllas tomo �r rH Exp. px1(t` Q 0 N a 0 Z 0 New CustomersOnty. Business Owners Only. n With a I year minimum contract v P s=t =s =c nor ©oac�r= O r =9 APPOINTMENT NECESSARY w co 0 SIGNATURE O F SERVICE 0 OIL CHANGE j 0 RR09590HD With coupon. Offer applies to most cars. Code: NR0660. Ezp. 02.15.12 0 0 GELONE 0 y 4 &x, j D m Works Includes: Expires 02128/12 n Express Wash VAUD 9AM TOOOSE. Clear Coat NOT VALID YJRH OMER COUPONa m wheel Brlght 0 0 Underbody Wash UB Rust Inhib 15 Total value F 0 *356356* a 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 Illl/ Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) .7 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 VOUCHER NO. WARRANT NO. FR I, l( ALLOWED 20 Y IN SUM OF ON ACCOUNT OF APPROPRIATION FOR 6d if a�qq o 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 20 A/ Cost distribution ledger classification if Title claim paid motor vehicle highway fund