180154 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00351403 Page 1 of 1
ONE CIVIC SQUARE JEAN JUNKER CHECK AMOUNT: $25.50
CARMEL, INDIANA 46032 7615 MARY LANE
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INDIANAPOLIS IN 46217 CHECK NUMBER: 180154
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER A DESCRIPTION
1120 4230200 REIMB 25.50 OFFICE SUPPLIES
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Greenwood Park Mall
Greenwood, IN 46142
11 28 -09 9:41P 0139/0004/1976/8 2073XXX
ID# 999- 8871 -9078- 5897- 9865 -9580 -2369
ACCENT RUGS 086093234423 17,99 T1
�Q ItemPrice 29.99 YouSave 12.00
CLOCKS /ACCESS 792684341073 29.99 T1
ItemPrice 49.99 YouSave 20.00
2
m A PACK BED SHEE 753976401950 74..99 T1
o ItemPrice 149.99 YouSave 75._00"
BOY
(n S8 20 LNG BT 400901150758 14,40 T1
ItemPrice 32.00 YouSave 17,60
BOYS8 -20 LNG BT 780045584153 14,99 T1
ItemPrice 21.99 YouSave 7.00
GIRLS 7 -16 BOTT 767052539680 14,99 T1
J ItemPrice 26.00 YouSave 11,01
BOYS L/S KNITS 762166529633 14.99 T1
ItemPrice.28.00 YouSave 13.01
BOYS L/S TEES 609555537995 14,99 T1
ItemPrice 24.00 YouSave 9.01
BOYS L/S KNITS 400902926598 13,20 T1
ItemPrice 22.00 YouSave 8.80
G7 -16 TOPS 400903645061 8.00 T1
ItemPrice 16.00 YouSave 8.00
G7 -16 TOPS 400903642367 8.00 T1
ItemPrice 16.00 YouSave 8.00
G7 -16 TOP 400904166015 17,99 T1
ItemPrice 36.00 YouSave 18.01
GIRLS 7 -16 TOPS 7 05142336559 17,99 T1
It'emPr -ice 36- .00_., YouSave. 1,8.01
BOYS L/S TEES 609555538046 14,99 T1
ItemPrice 24.00 YouSay.e -'9.01
SUBTOTAL 277,50
15% TOTAL OFF OFFER 41.63
T1= 235.87 2 7,0% TAX 16.51
TOTAL $252,38
KOHLS CHG XXXXXXXX7704 252.38
APPROVED 027383
.TOTAL SAVED; $276,09
THANK YOU FOR SHOPPING AT KOHL'S
$40,00 KOHL'S CASH ACTIVATED
141490185029496
$10 EARNED FOR EVERY
$50 PURCHASED
KOHL'S CASH MUST BE PRESENTED TO BE
REDEEMED. RETURNS OF ITEMS IN THIS
TRANSACTION MAY REDUCE THE VALUE�OF
KOHL'S -CASH AND /OR THE REFUND,AMOUNT.
SEE DETAILS PRINTED ON KOHL ',S CASH.
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Give a sift 4fiat�'Fits your budget,
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the Kohl's Gift Card!
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))
$25.50
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.
Jean aunker ALLOWED 20
IN SUM OF
$25.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 42- 302.00 $25.50 1 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
DEC 72009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund