208424 04/25/2012 A
CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK AMOUNT: $20.34
C/O MAYOR'S OFFICE
CHECK NUMBER: 208424
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4355100 20.34 WATER COUNCIL CHAMBER
Re pa, 51e v e- Ca 4A 5& x
000
roomer
He r_ a `+ers I ue fror thc-
wa" "ou I I ve
1217 RANGEI_INE RD,
317--516 -4818
YOUR CASHIER WAS DAVID W
KRO WATER 3.39 F
KRO WATER 3.39 F
KRO WATER 3.39 F
KRO WATER 3.39 F
KRO WATER 3.39 F
KRO WATER 3.39 F
TAX 0.00
a` BALANCE 20.34
CASH 21.00
CHANGE 0.66
T l'h'lL NUMBER OF T rEMS SOLD 6
0 07:54am 959 9 13 127
We Ala I ue Yaw' Feedback!
ENTER TO WfN ONE OF 20 $100 GIFT CARDS
You are invited to complete a survey
about your recent visit to Kroger
Answer by Internet
www.let1kroger.com
YOU will need this receipt 'lo respond
SIIRVFY ENTRY CODE
021 999
THANK YOU FOR SHOPPING KROGER
CUSTOMER SERVICE IS EVERYONE'S JOB.
LET ME KNOW HOW WE ARE DOING.
CHARL BECHEL, MANAGER
ATTENTION CASHIERS: START THIS TAPE 04120/12 UK L.P. 04019
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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
ht
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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
�LILO
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
nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund