212206 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
4� ONE CIVIC SQUARE ANN GALLAGHER
CARMEL, INDIANA 46032 171 PARKVIEW COURT CHECK AMOUNT: $32.37
CARMEL IN 46032 CHECK NUMBER: 212206
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 32 . 37 OTHER EXPENSES
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#03231 121.5 S RANGE LINE RD
CARMEL IN 46032
317-�71-1176
299 9845 0022_.08/20/2012 7:12 AM
(S)MEGA,NOODLE PPR
'06484939151 A 32.37 SALE
13 @ 2.49
REGULAR PRICE 4.99.
SAVINGS 32.50.,
SUBTOTAL 32.37
SALES TAX A=7.0% 2.27
TOTAL 34.64
MASTERCARD ACCT 1439 34.64
CHANGE .00
STORE ADVERTISED SAVINGS 32.50
1
TOTAL SAVINGS 32 . 50
SAVINGS VALUE 50%
RFN# 0323-1229-8457-1208-2003
IIII�III II �I II � IIII I �� II III IIII �I IIIIII�III III II
OPEN 24 HOURS
THANK YOU
SAVE ON YOUR PRESCRIPTIONS BY JOINING
WALGREENS PRESCRIPTION SAVINGS CLUB
SEE PHARMACY FOR DETAILS
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Prescribed by State Board of Accounts City Form No.201(Rev.1995)
j ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL � k
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
r• .j
Purchase Order No. i
Terms
Date Due
hb
" Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
" 08/20/'1` I reimbursement for noodles $32 3� TM
a
n.
r
i
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordant
With IC 5-11-10-1.6
, 2o
VOUCHER NO. WARRANT NO.
inn Gallagher ALLOWED 20
IN SUM OF $
Parkview Court
Carroel, IN 46032
$32.37
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
t INVOICE NO. ACCT#/TITLE AMOUNT Board Members
852 1 hereby certify that the attached invoice(s), or
-852.00 $32.37 k
bill(s) is (are) true and correct and a p<U
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, August 23, 2012
II ,,
Chief of Police
Title
G t Stribution ledger classification if
�iiid motor vehicle highway fund