206272 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 354296 Page 1 of 1
ONE CIVIC SQUARE HOBBY LOBBY STORES
CARMEL, INDIANA 46032 PO aox 960070 CHECK AMOUNT: $12.49
OKLAHAMA CITY OK 73196 -0070 CHECK NUMBER: 206272
9N
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4239099 MAYOR 12.49 OTHER MTSCELLANOUS
0 Lai E1 E UT
ff TXUEKEH7
7707 SOUTHWEST 44th STREET PAGE: 1 of 1
OKLAHOMA CITY, OKLAHOMA 73179
FED. I.D. #73- 1032203 FAX (405) 745 -1512
Account Inquiries htips: l /cards.hobbylobby.com /archarge or (877) 303 -4938 DATE: 01/31/2012
Email: acctsrec @hobbylobby.com
CITY OF CARMEL- MAYOR'S OFFICE
ATTN: SHARON KIBBE ACCOUNT N0.
1 CIVIC SQUARE 9107794
I CARMEL IN 46032
CARD N0. 79000017550
AMOUNT
DATE 1 1 1 AMOUNT 1 DESCRIPTION.
12/17111 Charge 32566878 10.99
01/06/12 Charge 33137066 010611 12.49
01/27/12 Payment 205490 10.99-
CURRENT
DAYS 61 90 DAYS I PREVIOUS
12.49 0.00 0.00 0.00 10.99 12.49 10.99- 12.49
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hobby Lobby
IN SUM OF
P. O. Box 960070
Oklahoma City, OK 73196
$12.49
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 Receipt 42- 390.99 $12.49 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
Monda February 13, 2012
r
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
01/31/12 Receipt $12.49
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