170243 03/31/2009 CITY OF CARMEL, INDIANA VENDOR: 360469 Page 1 of 1
s'f' ONE CIVIC SQUARE CONNIE MURPHY CHECK AMOUNT: $29.24
a CARMEL, INDIANA 46032 9 HENSEL CT
y 'rung °r CARMEL IN 46033 CHECK NUMBER: 170243
CHECK DATE: 3131/2009
aEPARTMENT ACCOUN PO NUMBER INVOICE N AMO UNT DESCRIPT 'r
1701 4230200 29.24 OFFICE SUPPLIES
1.
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CLUB MANAGER MICH"'` KANTNFR
317 585
Fax and Pull 4 9
INDIANAPOLIS,
03/2F, 10 8092 81'q 012 1366
X MEMBLR IUt- �rt *Iiis2
THANK YOU,,
KING OF GLORY LUTHERAN CH
455623 SOFT DRINK 0.87 P
455623 SOFT DRINK 0.87 P
SUBTOTA 1.74
E 49573 JIFCREAMY2PK 6.97 N
E 102277 CHKN SALAD 7.68 N
E 904750 BPNANA 1.32 N
E 749972 S A rtAWBERRY z 74 N
638927 LABIEL REFILL_ 29 L
SUBTOTAL_
TAX 1 7.000 0.12
TAX 4 2.000 0.03
TOTAL 50.84
`ID 50.84
ACCOUNT
APPROVAL 014532
CHANGE DUE 0.00
ITEIMS SOLD 7
TCtt 1893 2462 2606 4576 1620
Iillll IIII Illill III I IIII II I I III I it I I (I ��ll I I II I I I I I I i��
WE VALUE YOUR OI ANION
WE WANT TO KNOW ABOUT Yuull bt10PPING
EXPERIENCE TODAY AT SAM'S CI UH
Please complele it survey about luday's clue visit al.
httn:llwww.survey sanrsrlub com
IN RETURN FOR YOUR'I'IME YOU COULD I'll:
ntiG nF' RVE $1 SA46 r Li lu aLlnppha- _gnna
You must be 18 or older and a hroal resident of Iho
United Slates to enter. No purchaso nw ossary to win
To entor without purchase and for oHirial rules visit.
www.entry. survey. s amsclu6.cum
Sweepstakes period ends on the dart, _hewn in Ilui
official rules. Survey must be lakcn within 1W(.) w.iol_
1 today.
Esta encuesta tambi6u se encooti ra on ospannl (to, I,r
paellla de Iniell —I
THANK YOU
Prepare for ti :poff this tourney season
with savings on treats for sour party.
03/28/09 13:10:57
MEMBER COPY
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
z
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.
n Payee IA
D I Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)),
Total
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.
a�
ALLOWED 20
IN F
SUMO
ON ACCOUNT OF APPROPRIATION FOR
�2- 1
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund