169865 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 360074 Page 1 of 1
ONE CIVIC SQUARE SUE COY
CHECK AMOUNT: $70.11
CARMEL, INDIANA 46032 GO HUMAN RESOURCES
,ti"oN.a ONE CIVIC SO CHECK NUMBER: 169865
CARMEL IN 46032
CHECK DATE: 311812009
DEPARTMENT ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT D ESCRIPTION
1201 4343002 58.30 EXTERNAL, TRAINING TRA
1201 4357001 11.81 INTERNAL TRAINING FEE
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night store. night Price.
1217 S. RANGELTHE RD.
y O U I,, CAS UAS SEL CH[CKOU F
niiiilJI 1 CUQrAl1Lp, nh*A x *362
SFNS NAPKINS P C 99 T
SC 5498 SENS NAPKIN (11.49) 0.50-T
MIS PLATF PC I 9 T
SC 2320 NNS PLATE (1.74) 0.20-T
COFFEE COKC 1.29 F
BKRY DANISH
,,19
inx
BALaNcc
CASH 1i o 2000
CHANGE 7.96
T O T AI Fil IlijNI)FP OF 1. I'EMS "OLD
KRlji(jFQ SAVINGS
PLUS SAVINGS 0,70
'1RV.TNGS (5 PC[. 0.70
KROG[R SAVINGS
0? /03/09 08:36am 959 82 13 999
***N***Kroger Plus Fuel Rewards***K***
Prior months S$ remaining:$322
Redeem by 3/31/09
3 Ways to Save More Often on Fuel
Sive 10.10 Per• v at For ever -r 2 Rx
szripis wu I ill I scr ipl SO poinIs
Save 10.10 Per v at for evel-L, $Eo In
4ji'i cards. $1 in Gift Cards= 2 Points
Lxciudes Kroger Gift Cards
Save $0.10 Per 37,1 for every $100
in 'Iroceries. $1
I point
Todav's Fuel Saver Points earned=11
Mar. Fuel Saver Points to date=168
100 pr1:nIS=1 fill UP, save_ 471 I r, s,al
Save an addi f ional $0.05 per ),,I
wish t Jour 123 Rewards masierl',drd
Res I r i c t i ons and Exc App I j.
See Sio•e for Complete Details.
parch Points e,.Pire 1/01/09
=SEE WHAT YOU ARE SAVING TODAY=
YOU SAVED $0.70
WITH YOUR PLUS CARD
BY USING YOUR KROGFP' PLUS CARD,YOUR
rit SAVINGS TO 0(1I is srL
IIIANK YOU FOR 'SHOPPING KROGIR
CUSTOMER SERVICE IS EVERYONE'S JOB.
LET ME KNOW HOW WE ARE DOING.
CHARL BECHEL, MANAGER
On Your Side" on MORE
OCR VOUR
WHEN YOU COMMME BOTH
YOUR HOME AND AUTO OTH
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AMTOIXIFEIDUSOPJESS/MONE/RENTERS o
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OF 2 ENTREES 0 ENTREE AT REGULAR PRICE
Natok oHnhined.ith airy akr ofla. K0.09591FM Q Na lokomNned.iih airy ahm offer. 011111
b I oil change filter
install new filter /',1r G
preludes refill up to 5 quarts of
i premium motor oil I
y •lubricate chassis (it applicable)
free 14 point courtesy check P
I The experience you want O Ad( S2.50
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1314 Range Line Road Endab o
31 E tiger racyding viipefu°onvaseP c�
KR0959JFM 46032 a9sen
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KRO959JFM
W on APPETIZER or:.
DESSERT 1
I With Purchase of 1 Adult Meal 1
�Value up to $6.99. Excludes sampler. Not valid with any other
jvas I ffer- One <ouponpertahle pev te a
soot E. 86th Street n KIDS MEAL
Castleton, Indiana I With Purchase of 1 Adult Meal I a
1 Not valid with any other offer. 1
3117 -570 -9066 I One coupon per table, per visit. I m
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO
Q1}
GOVERN UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
tP'(
(OFFICE, BOARD, DEPARTMENT OR INSTITUT
DATE FROM TO READING +R AUTO MILEAGE
�y NATURE OF BUSINESS MILES
07 0_c POINT POINT START FINISH TRAVELED PER MILE
cr7 Db a a.rm-e1 rA/ uof Li Ittr u C► !N a. 7 1N /Y a l
oo arrn unp e l ll me0 a 7 9 2 8 2 y Ur T r S_3 l
AUTO LICENSE NO. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits
and that ng/par of the same has been paid.
Date
i
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority.
That it. is apparently SL correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
o tr a
CL
M o
N
(D a
p n
Allowed 19 w 0 rt
N �y
in the sum of �G m
m Pi t7'
D m
m
a
ca o
CD
i y M p-
a a A p
n
(Board or Commission) O p c�
P. tD
A p
p
FILED
is
w w
rt N M
m w
1
(Official Title)
O a
O.
C m
N.
A.E. BOYC£ CO-, INC. MUNCIE, DV 01136
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
4Slle COv Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Mileage
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.
03/16/0.3
ALLOWED 20
Sue Coy
IN SUM OF
$70.11
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1201 430 02 .30 materials or services itemized thereon for
which charge is made were ordered and
1201 570 -01 $11.81 received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund