209639 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 241253 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $97.90
CARMEL, INDIANA 46032 C/O DOCS
C/O DOGS CHECK NUMBER: 209639
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 16.90 OTHER MISCELLANOUS
1192 4342100 81.00 POSTAGE
tom
r
r r
Mcr.re value for the-
W45" you 1 I vae
1217 S. RANGELINE RD.
317 846 9818
YOUR CASHIER WAS BRYAN
KRO GARB BAG 1.69 T
KRO GARB BAG 1.69 T
KRO GARB BAG 1.69 T
KRO GARB BAG 1.69 T
KRO GARB BAG 1.69 T
KRO GARB BAG 1.69 T
KRO GARB BAG 1.69 'I
KRO GARB BAG 1.69 T
KRO GARB BAG 1.69 T
KRO GARB BAG 1.69 T
TAX 1.18
TAX EXEMPTION 118
-xx BALANCE 16.90
021 KROGER 0959
1217 S. RANGELINE RD.
CARMEL IN 46032
4 04MPurchase
*xxA if A***** mm
TOTAL: 16.90
REFU: 11918B
VISA 16.90
EXEMPTED SALES AMT 16.90
CHANGE 0.00
TOTAI NUMBER OF ITEMS SOLD 10
04/19/12 12:07pm 959 8 37 139
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CHARL BECHEL, MANAGER
CARMEL RETAIL STORE
CARMEL, Indiana
460329998
1740350814 -0094
05/04/2012 (800)275 -8777 02:11:43 PM
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
$5.15 10 $5.15 $51,50
Sunshine
Skyway
Bridge
Priority
Mail Pn /20
$1.05 20 $1.05 $21.00
Lancaster
County PSA
85c Glacier 10 $0.85 $8.50
National
Park PSA
Total: $81.00
Paid by:
Cash $81.00
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VOUCHER NO. WARRANT NO..
ALLOWED 20
Petty Cash
DOCS
IN SUM OF
One Civic Square
Carmel, IN 46032
$97.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1192 42- 390.99 $16.90 I hereby certify that the attached invoice(s), or
y bill(s) is (are) true and correct and that the
1192 43- 421.00 $81.00
materials or services itemized thereon for
which charge is made were ordered and
i received except
I
Monday, Juny 04, 2012
1400, 2? t
Director
Title
.l
Cost distribution ledger classification if
claim paid motor vehicle highway fund I
Prescribed by State 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))
04/19/12 Bags for Tree Seedlings $16.90
05/04/12 Postage for BZA Mailing $81.00
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