HomeMy WebLinkAbout212338 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 C10 MAYOR'S OFFICE CHECK AMOUNT: $36.91
C/0 MAYOR'S OFFICE
CHECK NUMBER: 212338
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 19 . 96 PROMOTIONAL FUNDS
1401 4230200 16 . 95 OFFICE SUPPLIES
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Walmart
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( 317 > 578 - 4336
MANAGER PAUL ASKINS
8300 E 96TH ST
FISHERS IN 46037
:ST# 1557 OP# 00007394 TE# 32 TR# 00240-'::-�
.MAGAZINE 007098910095 4.9917- g..
;MAGAZINE 007098910095 4.99 X
MAGAZINE 007098910095 4.99
MAGAZINE 007098910095 4.99;X.,..
SUBTOTAL 19.96
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:APPROVAL # 054418
`: i2EF # 223600251119
:':'TRANS ID - 0082236818457953
.:. "VALIDATION - LK09
:``:;PAYMENT SERVICE - E
:`: ':TERMINAL # 20003932
08/23/12 18:44:07
CHANGE DUE 0.00
# ITEMS SOLD 4
TC# II5241 1022 6092 5302 4431I �
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08/23/12 18:44:08
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))
08/23/12 Receipt $19.96
1 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
Petty Cash - Mayor Brainard
IN SUM OF $
One Civic Square
Carmel, IN 46032
$19.96
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 Receipt 43-551.00 $19.96 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
Friday August 24, 201
1
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
1 Ol (V ALL, S IN SUM OF
$ I
ON ACCOUNT OF APPROPRIATION FOR
L �-
W uu OPW6
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
/ y ® 20
Signatu
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund