178052 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363050 Page 1 of 1
ONE CIVIC SQUARE AMANDA BENNETT
CARMEL, INDIANA 46032 510 N RILEY AV CHECK AMOUNT: $3.99
INDPLS IN 46201 CHECK NUMBER: 178052
CHECK DATE: 10114/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4230200 3.99 OFFICE SUPPLIES
LOWE S
LOWE'S HOME CENTERS, INC.
8801 EAST 25TH ST.
INDIANAPOLIS, IN 46219
(311)895 -8400
-SALE
SALES #:'S0272GF1 690817 08 -28 -D9
156024 JH 3 -IN -1 TELESPOUT 3.99
3 9 1.33
SUBTOTAL: 3;28
TAX:
INVOICE 26597 TOTAL: 4.27
BALANCE DUE: 4.27
4.27
VISA XXXXXXXXXXXX2149 036968
AMOUNT: 4.27
0272 TERMINAL: 26 08/28/09 19:15:04
OF ITEMS PURCHASED: 3
EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS
THANK YOU
FOR SHOPPING LOWE'S
RECEIPT REQUIRED FOR CASH REFUND.
CHECK PURCHASE REFUNDS REQUIRE
15 DAY WAIT PERIOD FOR CASH BACK.
STORE MGR:
HAVE A COMMENT OR FEEDBACK? LET US KNOW AT:
M LONfES COM /FEEDBACK
STORE CODE: 02720 -82809 -26597
UE HAVE THE LOWEST PRICES, GUARANTEED!
IF YOU FIND A LOWER PRICE, WE UILL
BEAT IT BY 10 SEE STORE FOR DETAILS
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
Amanda Bennett
Purchase Order No.
510 North Riley Avenue
Terms
Indianapolis, Indiana 46201
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10 -2 -09 Reimburse Amanda Bennett for monies she personally 3
expended to purchase office supplies per the attached receipt
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. 3
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Amaida Bennett IN SUM OF
510 North Riley Avenue
Indianapolis, IN 46201
ON ACCOUNT OF APPROPRIATION FOR
Deferral Fee Fund
420 -30200 Office Supplies
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
209 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 O�
tore
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund