173947 06/24/3009 CITY OF CARMEL, INDIANA VENDOR: 00351787 Page 1 of 1
ONE CIVIC SQUARE SHERRY S. MIELKE
b INDIANA 46032 CHECK AMOUNT: $150.00
CARMEL
••o° 36fi2 E CARMEL DRIVE
';aio Eat CARMEL IN 46033 CHECK NUMBER: 173947
CHECK DATE: 6/24/2009
DEP ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4359003 150.00 CHAIRS
l 1 far
WE rlffl...l1_ VIOUH 01"N"UN, n l rYl burl
WE WANT TO KNOW ABOUT YOUR SHOPPING 1
EXPERIENCE TODAY AT UAL--MART.
Please complete a survesi about 1 0 f {�11� C d r
1 r�
todaW s store visit at:
http://www.!;urvc!q.walmar-f.com caUt4IJ+_-s
You will need to enter the
following onlir,C
ID 9: 79CI_PSKBQQ,l
IN RETURN FOR YOUR TIME YOU COULD
RECEIVE ONE OF FIVE $1000
WALMART SHOPPING CARDS
Must be 18 or older and a legal
resident of the 50 US or• DC to
enter. No purchase necessary to
enter or win. To enter without
purchase and for complete official
rules visit
www.entrg.survey.walmari�.cam
Sweepstakes Period ends on the date
shown in the official rules. Survey
must be taken within TWO weeks
of today,
Esta encuesta iambiLn se encuentra
en espanol en lei phsina del Internet
THANK Y0r1
Will mart
Save money. Live butter.
WE SELL FOR LESS
MANAfiE :A MIKE SMITH
317 844 0096
ST5 1601 OPit 00005386 TEE 20 iRU 09607
FOLD CHAIR 066793001962
10 AT 1 FOR 15.00 150.00 X
SUBTOTAL 150.00 N cc, &k,
TAX 1 7.000 0-59
'ITAL 160.50
,END 160.50
unm'.' DUE 0.00
EFT DEBIT PAY FROM PRIMARY
ACCOUNT 8813
160.50 TOTAL PURCHASE
?f:F 916500632E03
tw:.RK 10. 0090 APPR CODE 738068
06, 12:07:58
ITEMS SOLD 10
II TCtt 52.66 1 432; 1I 4 4519 5133 6353 4
ili�� ►��ii i ii
`.nd simple tlps and earth- friendly
Account Details
Key Privilege Checking affaulemp
Account Balance Interest/Dividends
Key Privilege Checking, as of 06/f42009 0.00 Last Payment, paid on 05/312009 0.84
Sub Account Balances, as of 061142009 Total Paid YTO, as ofo53iaoo9 3.76
Investment Account (FDIC) Total Paid Last Year 45.36
Pending Activity 584.17 Sub Account Yields' as of oen4aoos
Holds 0.00
Please refer to your statement for FDIC sub account yields
Available Balance WASNO earned.
Overdraft Protection Available 500.00
Member FDIC
Certain Depow Account balances may inclutle sweep Investment options that are eligible for FGIG and/or SIPC insurance.
Transactions
From (mrnlddlyyyy): 05115/2009 Le gend
Sort Ascending
Son 0ccendng
To (mmlddlyyyy): 06/1 4/2009 LEE
Uiaw Crearotl Check
Date I Description 1 1 Credit
Pending Activity
06115/2009 PIN PURCHASE WAL -MART #160112 POS 160.50
06114/2009
06/14/2009 SI
06/13/2009 SI
06113/2009 Sl Q&90CEJM =P MI
06112/2009 Sf
06111/2009 SIG
0 611 112 0 09 SIG
06/1 012 0 09 SIG
Date Type Description Debit Credit
Cleared Activity
06112!2009 jQpbitCard
1
Prescribed by 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))
>r
Total 150.;UG
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. `e
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
1SU. C7G
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT ere certi that the attached invoic
DEPT. I h her Y or
d l X35 9c�3 /so.cx 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
-,Z2 20 05�
Sign ure
Directo of Operation
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund