210022 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00350224 Page 1 of 1
ONE CIVIC SQUARE NANCY HECK
CARMEL, INDIANA 46032 CHECK AMOUNT: $53.06
CHECK NUMBER: 210022
94 ION Gp
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359000 53.06 SPECIAL PROJECTS
4
5 5 o
a
q3s9 p o 0
gi o e T L WS4 -fo urt' C (Wg r (Peori develo m enk Roanl^&aul�
i..`'` FN+r�re va l tAe for -1t h,
S. RAN(,I -LINT_ RD.
YOUR CASIIIER WAS Lori
ICl--MTN WATER
ICEMTN WATER 9.;Sf1 F
ICf 11TN WATER
D
ro
IET MIN DEW PC 9. Cs0 fI or
SC PLUS CARD SAVINGS 1.19
DI' COKE PC 4.6"
SC PLUS CARD SAVINGS 1.29 e
DTf:T SPRITE PC 9.0 U B
SC f?LIIS GARB SAVINGS 1.29 H"r-c- v m .1E aae for t h+
SPRITE. PC 9.00
5C PL.US CARD SAVINGS 1.29
COCA -COLFI PC 9.OG B
SC PLUS CARD SAVINGS 1,29
i 1 1 t;
COKE CL.SC PC 9.OEk ��'.if h t: t,!AS CHR ISTI
-SC PLUS CARD SAVINGS 1.29
HOMECITY ICE 1.99 C
HOMECITY ICE f ,99
HOMECITY ICE 1.99:
HOMECITY ICE 1.991
KROGER PLUS CUSI OMER x *xx x �59Lr li C I I c.
TA? 1 .6tfi KIti1Gf=R I f, U I .:1i R x xi E
TAX EXEMPTION 1,6$ f! 7 Ov
EALBNCE 95.iCi
!021 KROGER 4959 021 KROII{
f217 S. RANGELINE RD. 17 Rrll11 �NL RD+.
CARMEI_ IN 96032 iRMFI IN r6t+32
`Purchase ht". P,, h
xx *x #ri'kx rtx 1
TOTAL: X95.10
0301$8 REF 030608
45.10' VISA 7.96
CHANCE 0,00
EX1 MPTED SALE:'; (1MT 29.00 TOTAL. Nti'.. 1
05/30/i
CHANGE 0.00
TOTAL_ NUMBER Of: 1 TEMS SOLD 13
exxxxxxxxx;. KROGER `,RUING$ xxxxxxx *xx*
KROGER PLUS SAVINGS 7.64
TOTAL_ SAVINGS i19 Pct 7.69
xx *x *xx *xx< KROGER SAVINGS xxxxxxxxx *x
b -b -12
VOUCHER NO. WARRANT NO.
1
Nancy Heck ALLOWED 20
IN SUM OF
1326 Cool Creek Drive
Carmel, IN 46033
$53.06
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1203 Receipt 43 590.00 $7.96 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1203 Receipt 43 590.00 $45.10
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, June 15, 2012
Community Relations
Title
Cost distribution ledger classification if P V lflnq 01
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))
05/30/12 Receipt
05/30/12 Receipt $45.10
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