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172938 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 357812 Page 1 of 1 ONE CIVIC SQUARE WILLIAM MISER CARMEL, INDIANA 46032 5208 ROLAND DRIVE CHECK AMOUNT: $7.88 INDIANAPOLIS IN 46228 CHECK NUMBER: 172938 CHECK DATE: 512712009 DEPARTM `T ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355100 7.98 PROMOTIONAL FUNDS �ti o dr Right Store. 81ghf 12.17 S. RAN Ill. kii, 317- 896 -931 YOUR CAS111-11'% WAS Eldon KROGH PLUS CUt)[UNIR mx lis col-1 Pi" SC 1270 PLUS CARD SAVINGS ti. 'I RDA CFF 1-t I T nX BA! A11171 REF#: 00001710 PURCHASE n I COSIABACK 00 DOTAL OF B I it 15 00 T 1A1 y Imi, t ot I [1.1, I 7 P 1. •t, 3 UdI45 is savt% store Of ten 1-,,I: I Save 1' It 41 1 for scf'lpl-, '101) fill i script !tt I P0111fs ")I for c E wies If I Save $0.10 y6 1 for i n qr 3 1 I F) Q I I) oday's Fuel Saver pul III May Fuel Saver Poinis to did 100 Points=1 P Li p, Sa v e 1;(i Save an add i I i oil 0.0; with your 123 Reww Restrictions at,,,! See Store May Poinis evy,11-C, 15""'010"? 4 SEF YOU SAVLL WITH YOUR PLU!:':'ll BY USIr)b YOUR KROGER I JS 0:11mli'l. ANNUM 10 1't INGS TO DA IS v JJ FOR CUSTOMER SERACE IS LET HE KNOW iiOW WE Aki• 06 ll CHARL BECHEL, MANFIGER F a 0 x m g m SAC ®R1 s �m C C n ®Q80Q�IXSUdBCa CHEESE 1i t. N o a Z t '•O f$ t �j g a L� q d Willi! PuacNASe OF S9SCUI g g e O 1 LB. ORIGINAL �y Plut sz ell Nhr O plrrx vuRCxaae d a },t„ alto:::° eacow, C d Q m CNEn o o Q, 0147 TNICICeuRGEIN r 50 I�°� o� v a I I 1 11 Valvotme. r l fl ay= KRO959AMJ 0 AYBlu Filte 5 Quefft of t QW. Q 0 KRO959AMJ s (D y� 9 Offer valid tn rou�l a /19 /o9 Valvoline All Climate Oil offer valid through 8/15/09 8 Ol x v Lubricate Chassis Street, oC� >v C o' 2350 East 116th Street B 2350 East 116th I I g nt �O lrvil S Carmel FREE V(SUAI �AipifNAHCEINSPECnaI Carmel T g�� Ofter available after regular breakfast hours. u Offer Must Present Coupon Mosl Grs gTruda. NOt available during regular breakfast •4 Vi a AC D� tours. One coupon per customer per Writ (a One Coupon per customer per Wslt. Valid W1 Other Offers, One Cou n per customer, tt a O P Not wlN erry other offer ,discount f 4 a Not vdl'M with any other offer, discount 0 Fxpiras Ogr15!09. KR0959AMJ 0 i 'l tf) Z li' of combo Please Present coupon before ii i or combo. Please present coupon before 6 .8 ordering Customer must pay arty sales tak 1 1 1 1 :ordering Customer must pay arty sales tax 22 e 0 Le jjj+++ a due. coupon.02008 Hardee Cash value 1/100 of St. Umit S discount tlue: Cash value l/SOOOf U. Umlt l discount a so 3 '1 I r KF0959AMJ p yp� n f J 9 T 's Food Systems p a /�lCy7.. per �pon.02008 Hardee's Food Systems, J h KR01108 OT�FC per ta9rnn6seau mc. All dghts reserved. Inc. All rights reserved. a_�_�_0_0_0_�_�_� 9NI511113AOV 501 (lad 656 03 53900 lim" 98S8' l£Y (008) TTV) 9NIS11 801 (WV 656 01 5390101 8M 98S8 I E9 (008) 171) 9NISUMOV 801 IM 6S6 03 MOM 8E" 9858 l[V (008) TM 9NISLIMaV 501 Prescribed by State Board of Accounts City Form No. 201 (Rev. 4995) 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)) 05/12/09 Coffee for meetings $7.98 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 William Miser IN SUM OF c/o One Civic Square Carmel, IN 46032 $7.98 ON ACCOUNT OF APPROPRIATION FOR Carmel DOGS Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1192 43- 551.00 $7.98 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 Friday, May 22, 2009 irector, D S Title Cost distribution ledger classification if claim paid motor vehicle highway fund