168086 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1
ONE CIVIC SQUARE MICHELLE KRCMERY
CARMEL, INDIANA 46032 433 AUTUMN DRIVE CHECK AMOUNT: $19.99
CARMEL IN 46032
CHECK NUMBER: 168086
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUM I NVOICE N AMOUNT DESCRIPTION
1160 4359000 19.99 SPECIAL PROJECTS
Y 3j�U00
m bu rs c;h l e_ Krc. -.r
y
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IN
mevier
J L—"l
W. Carmel Dr,
Carmel, IN 130
?313; 5I3 8304 n,eje!.com
i j el am appreciates yor it b�is i n.ess
01/12/09
r fast and friendly checkout was
provided by JILL
RAl_ M -RC 11ANUl -'3F-
809 CASSETTES 19.'x9 CT
\L_
TOTAL TAX .D0
TOTAL 19.99
1ENl
f CARDS 7t:NDER 19.99
(XXXXXXXXX1017
NUMBER OF ITEMS 1
T1 ITEM VALUE EXEMPTED 19.99
T1 TAX EXEMPTED 1.40
T2 ITEM VALUE EXEMPTED 00
T2 TAX EXEMPTED .00
T4 ITEM 'VALUE EXEMPTED .00
T4 TAX EXEMPTED .00
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
1/16/09 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
..w
Michelle Krcmery Purchase Order No.
433 Autumn Dr. Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/12/09 Receipt Videocassettes for Carmel Can $19.99
Total $19.99
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.
f
1/16/09
ALLOWED 20
Michelle Krcmery IN SUM OF
433 Autumn Drive
Carmel IN 46032
19.99
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 $19.99 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
Signature
/wt
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund