205964 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CHECK AMOUNT: $6.38
CARMEL, INDIANA 46032 C/0 C/0 MAYOR'S OFFICE MAYOR'S OFFICE
CHECK NUMBER: 205964
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 6.38 FESTIVAL /COMMUNITY EV
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ON YOUR PRESCRIPTIONS BY JOINIk�j
GREENS PRESCRIPTION SAVINGS CLUE
SEE PHARMACY FOR DETAILS
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our monthly sweepstakes for
$3,000 cash
Visit
WWW.TELLWAG.COM
or call toll free
1 -800- 763 -0547
:ithin 72 hours to take a short
;rvey about this Walgreens visit
SURVEY#
0323 -1034 -747
PASSWORD
7120- 1190 -316
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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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/19/12 Receipt $6.38
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
Petty Cash Mayor Brainard
IN SUM OF
One Civic Square
Carmel, IN 46032
$6.38
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1203 Receipt 43- 590.03 $6.38 I hereby certify that the attached invoice(s), or
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
Friday, January 27, 2012
Community Relations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund