170498 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 00351787 Page 1 of 1
ONE CIVIC SQUARE SHERRY S. MIELKE
CARMEL, INDIANA 46032 3662 E CARMEL DRIVE CHECK AMOUNT: $81.14
CARMEL IN 46033
CHECK NUMBER: 170498
CHECK DATE: 4!1/2009
DEPARTME ACCOUNT PO NUMBER INVOI NUM AMOUNT DESCRIPTION
902 4346500 81.14 CITY PROMOTION ADVERT
4:.
SUl0�A�/
578 E CAXMET. DX|UF
CARME[, TN 48l1'
3�7-8�G-U1�9
O P Y
08/24/200g 11:24
SaaI��
Tranynotiou
Card 7yyo�
Act:
Eotr9 Suipo8
Salo: B-1- '1L.4
Reference No.: 005
Auth,Code: O19002
Bespon. AUTH/TkT B19002
NO CUSTOMER SIGNA7uBF
REQUIRED ON ANY
TRANSACTION UNDER
S 25.00 DOLLARS!
Z
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
I, Sherry Mielke, Director of Operations, personally expended the following sum of money for an
organizational lunch meeting with Shiel Sexton and Karl Haas for which I need to be reimbursed. The
subject of the meeting was the Performing Arts Center financial review.
3/24/2009 81.14 {From Subway 10 foot long sandwiches, 10 chips and 10 cookies}
TOTAL 81.14
Dated this 24th day of March, 2009.
Sherry S. Mielke
Subscribed and sworn to before me, the undersigned Notary Public, this 24th day of March, 2009.
My Commission Expires:
cb: msword :z:smielkelCmmsatTadiviflunch 04 24 09A-3/241091
L
Presc ribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 7995)
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
5 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total a W.
el
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in �cordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
�K
IN SUM OF
c?l
ON ACCOUNT OF APPROPRIATION FOR
H
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3.2 to I 5cX-7 S/ 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
atu rP
iR
i iue
Cost distribution ledger classification if
claim paid motor vehicle highway fund