HomeMy WebLinkAbout174824 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 356308 Page 1 of 1
ONE CIVIC SQUARE REBECCA DIENER
CHECK AMOUNT: $138.15
CARMEL, INDIANA 46032 9251 KNIGHTS BRIDGE BLVD #B
INDPLS IN 46240 CHECK NUMBER: 174824
CHECK DATE: 7122/2009
DE PARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
'852 5023990 138.15 OTHER EXPENSES
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The Pharmacy a A;marica Trusts Since 1901"
I" m REBECCA. Thank you for allowing me
to Serve you today.
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RFN# 0323 -1015 -3188- 0907 -1620
riTOF1NiSHING 1 ?3
'OTAL r :'l 15 J
NKA^A* 158.15
CASH BACK 20.00
GIFT /DISC SAVINGS: 24.38
!JR TOTAL SAVINGS: 24.38
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1215 S Range Line Rd Carmel, IN
STORE (317)571 -1176
OPEN 24 HOURS
THANK YOU
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;KEENS #3231
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RETAIN THIb RECEIPT FOR YOUR RECORDS
JULY 15, 2009 9:50 PM
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Prescri:fed by State Board of Accounts City Form No. 201 (Rev. 1995)
r 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
Rebecca S. Diener Purchase Order No.
12184 Maize Drive Terms
�i
Noblesville, IN 46060
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/16/09 rei bursement for film development 6 M 138.15
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.
r
ALLOWED 20
R ebecca S. Diener
IN SUM OF
12184 Maize Drive
Noblesville, IN 46060
138,15
ON ACCOUNT OF APPROPRIATION FOR
police fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
138.15 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
July 17 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund