180166 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1
ONE CIVIC SQUARE MICHELLE KRCMERY CHECK AMOUNT: $15.94
CARMEL, INDIANA 46032 433 AUTUMN DRIVE
CARMEL IN 46032 CHECK NUMBER: 180166
CHECK DATE: 12/8/2009
DEPARTMENT AC COUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
1160 4359000 REIMB 15.94 SPECIAL PROJECTS
e 5 Ce-i 4k r5-
klc ,k.e_� e. V- c m Li-
;J:l� L\ 6u Z WE HAVE THE LOWEST PRICES, GUARANTEED!
IF YOU FIND A L0UER PRICE, WE DILL
?bF AIT BY 103. SEE STORE FOR DETAILS
LOWEt�
GLSI�I i l l �A.y
J LOOF S HOME CENTERS, INC.
u 14598 LODES WAY
CARMEL, IM 46033
(317)566 -8124
-SALE-
SALES 51525JC4 1242530 11 -27 -09
tE 152500301 CITY OF CARMEL
8803 STANLEY LED TRIPOD FLASK 15.94
18.47 DISCOUNT EACH -10.50
2 M 7.97
SUBTOTAL: 15.94
TAX: 0.00
INVOICE 13802 TOTAL: 15.94
BALANCE DUE: 15.94
VISA: 15.94
TOTAL_ DISCOUNT: 21 00
05515C
AMOUNT: 15.94
159-5 TERMINAL: 13 11/27/09 09:51:18
S3 OF ITEt4S PURCHASED: 2
Ey;CLUOES FEES, SERVICES AND SPECIAL ORDER ITEMS
III II 1, l;l
a ---nom y �s q oc VIII I III�I II'II11I! �II!!I
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
12/7/09
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
M ichelle Kcrmery Purchase Order No.
4 33 Autumn Dr Terms
C armel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/27/09 Receipt Flashlights for Holiday on the Square 1 $15.94
Total $15.94
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.
?2/7/09
ALLOWED 20
-'Michelle Kcrmery IN SUM OF
433 Autumn Dr
Carmel IN 46032
15.94
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4359000
Special projects
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Receipt 4359000 $15.94 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
200
l 11
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund