168977 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00353214 Page 1 of 1
ONE CIVIC SQUARE DAN GRESKAMP CHECK AMOUNT: $31.26
CARMEL, INDIANA 46032 C/O ENGINEERING
C/0 ENGINEERING CHECK NUMBER: 168977
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 2/9/09 31.26 OTHER MISCELLANOUS
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CLUB MANAGER MICHAEL KANTNER
317 585 1619
Fax and Pull 8 (317)585-9364
INDIANAPOLIS, IN
02/09/09 18:32 4566 8168 008 1366
W MEMBER 101 29290836147
THANK YOIJJ
LV
794823 DUNKIN DON w'15.63 N
794823 DUNKIN DON d 15.63 N
SUBTOTAL;.` 31.26
TOTW,, 31.26
DEBIT TEND- 31,26
CHANGE ME 0.00
EFT DEBIT PAY FROM PRIMARY
ACCOUNT 3438
31.26 TOTAL PURCHASE
REF 8 9040008331 €€4
NETWORK ID. 0090 APPR CODE 964378
02/09/09 18:32:27
ITEMS SOLD 2
TC8 1749 7120 7275 9116 5588
WE VALUE YOUR OPINION
WE WANT TO KNOW ABOUT YOUR SHOPPING;
EXPERIENCE TODAY AT SAM'S CLUB
Please complete a su ®y,alSouttoday's club visit at:
http:llwww, $Urvey -gams club.com
IN RETURN FOR YOUR TIME YOU COULD RECEIVE
ONE OF F!VE 4 t,0 1 00 SAMS ri t is S CARDS
You must be 18 or older and a legal resident of the
i United Stales to enter. No purchase necessary to win.
To enter without purchase and for official rules visit:
www.entry.survey.samsolub.com
Sweepstakes period end% on the date shown in the
official rules. Survey must be taken within TWO weeks
of today.
Est& encuesta tambiAn se encuentra on espaRol an la
paflina de Internet.
THANK YOU
Look for your 2008 Sam's Discover
Rewards check in February statements.
02/09/09 18:32:31
NZ
1
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
Dah Greskamp
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
219109 n/a Coffee for office $31.26
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
�VOUtHER NO. WARRANT NO.
ALLOWED 20
Dan Greskamp IN SUM OF
Enginrr;ering Department
$31.26
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice {s or
n/a 2/9/09 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
20
2 y 4-s.-4
61 S
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund