171944 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00351787 Page 1 of 1
p ONE CIVIC SQUARE SHERRY S. MIELKE
CARMEL, INDIANA 46032 3662 E CARMEL DRIVE
CARMEL IN 46033 CHECK AMOUNT: $1,500.00
CHECK NUMBER: 171944
CHECK DATE: 4/29/2009
DEPARTMENT T ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
9 „(�2 4350100 1,500.00 BUILDING REPAIRS MA
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Proxed For Account Nurrbef Ciosing Date
SHERRY.S;MIELKE t 04/20/09 Page .1 of 6.
SGA.COSULTING LLG
New .Acivdy$ MInIfIIUm
Aaiusunere a nd Payment: Due Date
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05/15/09 page _2
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for important information
regardingyour acCourt
Credit Line Total Credit Available Credit Cash Advance vailable:Cash
Summary Line I ina _T, Limit Limit
on 04/20!09
To manage your Account online or'to pay your.bill, please visit us: at open. americanexpress.com. For additional
contact information, please °see the reverse side of this page.
�C 11/1 Utd,cates posLing dale nm ourt s
04/08/09 Ek ECTOf+IIC PAYMENT RECEIVED THANK
120 SD
New Activi f or SHERRY S MiELKE amaIra
03!26/09: BLAKLEY S_ 33200003041NDIANAPOLIS
1,500.Q0
3175768336
Description Price
FLOOR COVERING STOR 1 ,600
04103/09 BLAKLEY'S 3320000304INDIANAPOLIIS
3175768336
DeSrxiptiori Price
FLOOR.G §TOR
.04/20109 Periodic FINANC C HARGE
1143
To #al'
2 o� alevfr Acti�nity
,261.35
fold on the.pertoralwn below, detachard return with your Payment
Continued on Page 3
Do not staple or use paper dips Account Number Payment_ Due Date To Pay by,Gomputer visit:
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SHERRY S` M I E -LKE 00 See Finance Charge
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N a descripti'oh'of when
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CARMEt IN. 033 -x317 additional'Finance
46
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on Purchases.
Amount enclosed Check here if your addre_&
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AMERICAN 'EXPRESS
P.O. BOX 650448:
DALLAS-TX.75265 -0448
B 1 ak 1 ey Retail FPX NO. :3175752878 Mar. 26 2009 05: 34PM P2
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1060 F„ bRTN ST,
INDIAI APOLIS IN 46256
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OFFICE
'Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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 IJ
Purchase Order No.
3 p a Cc, ��L c Terms
r� kJ C4_ Co y 33 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total flb a OV
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.
ALLOWED 20
IN SUM OF
C (a) q co—o 3 3
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
gOZ— 3j�foa �S�a O 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 b9
Sin ure
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund