175961 08/06/2009DEPARTMENT
902
CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
4342100
VENDOR: 360212
MATT WORTHLEY
14383 GEORGE COURT
CARMEL IN 46032
72309 25.92 POSTAGE
Page 1 of 1
CHECK AMOUNT: $25.92
CHECK NUMBER: 175961
CHECK DATE: 8/6/2009
CARMEL RETAIL STORE
CARMEL, Indiana
460329998
1740350814 -0091
07/23/2009 (800)275 -8777 04:23:37 PM-
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
CARMEL IN 46032
Zone -0 First -Class
Letter
0.40 oz.
Certified
Label 70081830000258644996
Issue PVI:
$0.44
$2.80
$3.24
INDIANAPOLIS IN
46250 Zone -1
First -Class Letter
0.40 oz.
Certified
Label 70081830000258644927
$0.44
$2.80
Issue PVI: $3.24
CARMEL IN 46032
Zone -0 First -Class
Letter
0.40 oz.
Certified
Label 70081830000258644934
Issue PVI: =$3.24
FISHERS IN 46038 $0.44
Zone -1 First -Class
Letter
0.40 oz.
Certified
Label 70081830000258644941
Issue PVI:
INDIANAPOLIS IN
46278 Zone -1
First -Class Letter
0.40 oz.
Certified
Label 70081830000258644958
Issue PVI:
INDIANAPOLIS IN
46290 Zone -1
First -Class Letter
0.40 oz.
Certified
Label 70081830000258644965
Issue PVI:
INDIANAPOLIS IN
46240 Zone -1
First -Class Letter
0.40 oz.
Certified.
Label
Issue PVI:
CARMEL IN 46032
Zone -0 First -Class
Letter
0.40 oz.
Certified
Label
Issue PVI:
Total:
Paid by:
Account
Approval
Transaction
23903091171
Bi114:1000902084275
Clerk:12
$0.44
$2.80
$2.80
$3.24
$0.44
$2.80
$3.24
$0.44
$2.80
$3.24
'$0.44
$2.80
70081830000258644972
$2.80
70081830000258644989
Customer Copy
$3.24
$0.44
$3.24
$25.92
$25.92
XXXXXXXXXXXAIWW
058981
795
Order stamps at USPS.com /shop or
call 1- 800- Stamp24. Go to
USPS;com /clicknship to print
shipping labels with postage. For
other information call
1- 800 ASK -USPS.
All sales final on stamps and postage
Refunds for guaranteed services only
Thank you for:your business
HELP US SERVE YOU 'BETTER
Go to: http: /gx.gallup.com /pos
TELL US ABOUT YOUR RECENT
POSTAL EXPERIENCE
YOUR OPINION COUNTS
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Purchase Order No.
S"7 l i S Ml/)
Terms
(came( IA) Lt Ceo 3z
Date Due
Invoice
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
')/z3/01
723 e),
Ce r4.- ,ed,' 1 t j,.t
2S. 42
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Total
S
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Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
City Form No. 201 (Rev. 1995)
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
l a 1/0(0 41Al ey
C/ i i tt' Q V" r,�r e 14
`4 (1 1° 32_
PO# or
DEPT.
4o z/ 1 /3 1 7 1 2/U0
42
2S.
ON ACCOUNT OF APPROPRIATION FOR
2
INVOICE NO.
6 )9
ACCT #/TITLE
4 3 yz/Cc)
Cost distribution ledger classification if
claim paid motor vehicle highway fund
AMOUNT
2$ 42_
ALLOWED 20
IN SUM OF
Signature
Director of Operations
Title
Board Members
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