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171855 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00353214 Page 1 of 1 ONE CIVIC SQUARE DAN GRESKAMP CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $121.25 CIO ENGINEERING +to. CHECK NUMBER: 171855 CHECK DATE: 4/29/2009 D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER T AMOUNT DESCRIPTION 2200 4239099 121.25 OTHER MISCELLANOUS g ceAp bre�r- SEARS NOBLESVILLE B 02417 301 NOBLE CREEK (LIQUIDATING) NOBLESVILLE, IN 46060 -0000 317- 703 -1400 I I 11 I II 111 III III RETAIN FOR COMPARISON WITH MONTHL', STATEMENT OR FOR RETURN OR EXCHANGE SALESCHECK 024175177525 IRAN# PG /STORE RIG# ASSOC# 7525 10 02417 517 5033 RINGING ASSOC 5033 L SAE 8 33354 BX —B,10— CI SAL 89.99T UPC: 072504077840 SUBTOTAL 89.99 TAX 07.000% 6.30 CARD TYPE: V[SA ACCT 0: WG062/ AUTH CODE: 8888/E 04/2.6/09 VISA TOTAL. 96.29 RC: 2007 6865 —;'3 �7 -6167 C,ARDHOLULR 11PT OF GOODS A ^'Ivt)I? AMnrUNI ti, QILL 3 Q��" TED IIIRi S I, Y THE 1 RMS AGRLt_, .ai I H 'I HE i �SUIR( S) OF lir ;;IT CARDS. SATISFACTION GUARANTIED OR YOUR MONEY BACK A RECEIPT DATED WIlHIN 90 DA`v;' IS REQUIRED FOR A RETURN OR LXCI1,Af NII1CH WOULD BE 07/25/09. OTHER i'l I E APPLY. SEE BACK OF RECEIPT FOR TIq RC TURNID MERCHANDTS[= MUST [N!;!. "1idl 1J? (CARTS REi l 4i1! L I J ill. IJi, 1 ALL SALES FINAL 4 SHOP ANYTIME ON SEARS.COM Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Ar) 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 Dan Greskamp Purchase Order No. Engineering Department Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/26/09 n/a Coffee Maker for Office $89.99 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 VC-_,'CHER NO. WARRANT NO. ALLOWED 20 Dan Gir-eskarnp IN SUM OF Engineering Department $89.99 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or n/a 04/26/09 2200- 4239099 $89.99 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 2-1 20 Oq natty re Cost distribution ledger classification if T e claim paid motor vehicle highway fund CLUB MA14AGER MICHAEL KANTNER 317 585 1619 Fax and Pull 4 (317)585 -9364 INDIANAPOLIS, IN 04/23/09 07:09 8774 8168 007 1687 W MEMBER 101- *6147 THANK "YOU, SHEILA J MURRAY BROKER E 794823 DUNKIN DON I 15.63 N E 794823 DUNKIN DON 15.63 N SUBTOTAL 31.26 TOTAL` 31.26 CASH TEND 40.00 CHANGE DUE 8.74 ITEMS SOLD 2 TC# 9554 0616 1404 2883 6411 WE VALUE YOUR OPINION WE WANT TO KNOW ABOUT YOUR SHOPPING EXPERIENCE TODAY AT SAM'S CI_Ufl Please complete a survey about today's club visit at' htti)://www.survey.samsclub.com IN RETURN FOR YOUR TIME YOU COULD RECEIVE ONE OF FtvF $1 nnn SAME C i as SHODP!NG raunr You must be 18 or older and a legal resident of the United States to enter. No purchase necessary to win. To enter without purchase and for official rules visit: www.eiitry-survey.sanisclub.com Sweepstakes period ends on the date shown in the official rules. Survey must be taken within TWO weeks of today. Este encuesta tambiAn se oncuenba en espatinl en la piigina de Internet. THANK YOU Get info bg e-mail and save a tree. Stsnup starts April 22 at samsclub.c_om. 04/23/09 07:0.9:40 Prescribed by Slate 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, vales per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Dan Greskamp Purchase Order No. Engineering Department Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/23/09 n/a Coffee for office $31.26 Total 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. ALLOWED 20 Ban Greskamp IN SUM OF Engineering Department $31.26 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members 1 Po# or INVOICE NO. ACCT /TITLE AMOUNT ©EPT. I hereby certify that the attached invoice(s), or n/a '04/23109 2200-4239099 $31.26 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 1 z� 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund