168928 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 362493 Page 1 of 1
ONE CIVIC SQUARE MICHELLE COMPTON
CHECK AMOUNT: $29.90
CARMEL, INDIANA 46032 17208 MEGGS ST
NOBLESVILLE IN 46062 CHECK NUMBER: 168928
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 29.90 GENERAL PROGRAM SUPPL
Carmel ay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
1/24/2009 Kroger T l� 00 $29.90 Pizza for Bingo
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $29.90 w
Employee Name (print) Michelle Compton
FEB -1 9 2009
Address 17208 Meggs St.
Check
payable to: City, St, Zip Noblesville, IN 46062 t
Signature: /.IIYI�/.a�� Appro d
t Date: 1/30/2009 Date:
Bu .'iness Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
362493 Compton, Michelle Terms
17208 Meggs St
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/09 Reimb Pizza for Bingo 29.90
Total 29.90
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.
362493 Compton, Michelle Allowed 20
17208 Meggs St
Noblesville, IN 46062
7.
In Sum of
29.90
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/`TlTLE AMOUNT Board Members
Dept
1047 Reimb 4239039 29.90 1 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
13 -Feb 2009
Signature
29.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
p, I
9 rojer
Right Store. Right Price.
121 S. RANGEIAINE RD. j.q0
YOUR CASH [ER WAS BRY01i
I rt�j I:
11.1 D Z. (I I I i 1:1(
SE 1590 PLUS CARD SAVINGS 0,74
TMBS*IN PTZ [-1 PC 2 i-
SC 1 PLUS CARL) SAVINGS 0.74
TMB.SiN PIZZA PC 2. 99 F
SC 1590 PLUS CARD SAVINGS 0.74
TMP PIZZrl I-, PC 2 .99 F
SC 1590 F CARD SAVINGS 0.74
I`MBSTN PIZZA I -t I F' 2 99 F
SC 1590 PLUS CARD SAVINGS 0. 74
rm SIN pj:LZn PC 2.99 F
SC 1590 PLUS CARD SAVINGS 0,74
I M )S I N PI -'rl Lil P C, p
SC 1590 PLUS CARD SAVINGS 0.74
MBSI'N PIZZA F.�l PC 2 99 1:
SC 1590 ZS CARD SAVINGS 0.74
fm!STN PIZZA (-.1 PC
.99 F
Sc IS90 PLUS CARD SAVINGS 0.74
IMBSFN PTZZH 1f1 PC 2' .99 F
SC 1590 PLUS CARD SAVINGS 0.
MXWL HS CCFF 5� 9 F
C w280 PLUS 'CARD SAVINGS 3.07
1 S3 MAXWELL HOUSE F
M 1 JL HS CLIFF F
SC 2 PLUS CARD SAVINGS 3 07
SC 0133 MAXWELL HOUSE
KROGEN PLUS CUS TOMER
rl) 8035 mci3n EVENT
MC 8085 MEGA EVENT
T A'
0=1 509
CR E D I T T T-
RE I CARD 34.88
CHANGE 0.00
10TOL NUMBER OF TIEMS S01 0 12
KROGER Sf-)thl`:t,-.3
MFG CPN SAVINGS Y Ei
KI PLUS SAVINGS 3 1L
TOTAL SAVINGS flcf 20.54
V.ROGPR SAvll
01121109 09 959 11 8 139
***AA9*Vroser Plus Fuel Rewards**xxFhi�
Prior months SS remainin<):5695
Redeem b� 1/31/09
Tio 'o en
3 Wags to Save re on ruei
Save $0.10 Per gal for ?ver 2 1R.
(-r A F t S ti<)U FA 11 1 SCt ip! p o i 1 5
Save $0.10 per gat for
9,F1 cal 1 in G1 F! ,,ords= 2 po 111 t S
Save $0.10 per gal For -ver�i 1100
j" 9,10ceries. $1 I point
Today's Fuel Saver- Points earneP39
,!an. Fuel Saver points to daie=300
100 po rlls=l fill up, Save $0.10 gal
Save an adcl*iiional $0.05 Per ga!
w0h �jour 123 Rewards MasterCard,
Restrictions and Excl nppl�
See Store For Com Details.
Januar'.i Points expire 2/28,
,...SEE WHAT' YOU ARE SAVING TODAY,
YOU SAVED $20.54
WITH YOUR PLUS CARD
BY USING YOUR KP.OGCR PLUS CARI),vOUR
ANNUAL SAVINGS TO DAIE IS $51.97
THANK YOU FOR SHOPPING !RCIGFR
CUSTOMER SERVICE IS EVERYONE'S JOB.
LET ME KNOW HOW WE ARE DOING.
CHARL BECHEL, MANAGER
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Wonks. Includes. Expires s9tmg 0 9
EAj"i�SB Wash NO DCTA CHARGE FOR SW
%65 VANS, OR PICKU
CIeaD t i0at NOT VALID WRH OTHER COUPONS.
Wheel Bright
Underbody Wash jv
UB Rust Inhibitor wF
0 95 Total Value 7 7 71 1 1
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1314 Range Line Road t
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