212336 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 241762 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 LAW ENF AID FUND CHECK AMOUNT: $14.99
's Ego�o LAW ENF AID FUND CHECK NUMBER: 212336
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4230200 14 . 99 OFFICE SUPPLIES
W '.
FrThere's a way-
#03231
1215 S RAI4GE LINE R
CARMEL IN 46032
317-�71-1176
418 4856 0021 08/10/2012 12;48 PM
0-CEDAR TWIST & MOP 2000 #217 \
_04178500217 A 14.99 )
SUBTOTAL 14,99
SALES TAX A:=7,0% 1.05
TOTAL 16,04
CASH 20.04
CHANGE 4.00
III I sill I Illil IIII III II 0323-1:214-8568-1208-1003
I IIII II II II III
OPEN 24 HOURS
THANK YOU
SAVE ON YOUR PRESCRIPTIONS BY JOINING
WALGREENS PRI_SCRIPTION SAVINGS CLUB
SEE PHARMACY FOR DETAILS
How are WE! doin for-
$3
Enter our monthly sweepstakes
, 000 cash
'Visit
WWW . -f"ELLVIAG . COM
or call toll free
1 —800— 76-3-0547
within 72 hours to take a short
survey about this Wdlgreens visit
SURVEY#
032—"3- 1214-856
PASSWORD
81 20—;81 CIO-31 6
For contest rules see store or
WWCTELLWAG.COM
There's a ways"`
#03231 1215 S RANGE LINE.-RD
CARMEL IN 46032
317-�71-1176
418 4856 0021 08/10/2012 12:48 PM
0-CEDAR TWIST & MOP 2000 #21?
04178500217 A 14.99 �
SUBTOTAL 14.99
SALES TAX A:=7.0% 1 .05
TOTAL 16.04
CASH 20.04
CHANGE 4.00
RFN# 0323-1214'-8568-1208-1003
IIII I IIiIIIII II 111111 1 111111 1111111 IIII II III I 1 118 I;
OPEN 24 HOURS
THANK YOU
SAVE ON YOUR PRESCRIPTIONS BY JOINING
WALGREENS PRESCIRIPTION SAVINGS CLUB
SEE PHARMACY FOR DETAILS
How are wE! doingg?
Enter our monthly sweepstakes for a
$3 , 0100 cash
'Visit s
WWW . I'ELLVIAG . COM
or call toll free
1 -800-763-0547
within 72 hours to take a short
survey about this Walgreens visit
SURVEY#
032'—`-;- 1214-856
PASSWORD
8120-81 CIO-31 6
For contest rules see store or
W0 TELLWWCOM
We have the most Z4-b UUVu
o'-
E=:t 3 a Paa pharmacies nationwide.
i?um"EN>yc`y
N Check into EXpressPay.
g d a d°= d Prescriptions ready and automatically billed
.o.r_m�-3 a� to your credit card which is securely filed.
N M n;c a
r N a o o a. No receipts to sign.Just pick up and go.
co.�oac
E`c°«>"m`"d Digital/prints FAST at Walgreens.
�3NCN 2 cccE 9
° E m=o w
E3otai
r-°°o Z >9 We Refill Printer Cartridges.
Ask your photo specialist or go to
cct«aOvy u3'
;L,.E °Y_N Walgreens.com for the location nearest you.
y`°c hd v�
S E d Every Walgreens has your prescription
records-for easy refills
near or far from home.
an°"OEau�i`m
3>E? a Rx refills at Wad reens.com
N N N
° Switch your prescription
_§« ;;o A to Walgreens.All we need is the information
o r 3��� on your current prescription container.
S a °a We'll do the rest.
wao""66
_ om3 m.°.°i9`o
a
53NC� ocE
.0 (1-800-925-4733)
Ewa=dN
�tdE;G ar"i
`"` Dr%de thrU when you need to.
Y
M m m`=--g=o—`
Exy3°� 'v
Walgreens accepts all major
o.n3°m—w.tit
Medicare
°° °° yO
Part O plans.
3a.E-�v? n
!'o o d x Ask for a FREE personalized report that
°.
2 0 can help you find a plan that's best for you.
a9° o'
�� 0uvm
Monthly prescription?
Ask about Auto Refills.
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))
08/10/12 $14.99
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/Law Enforcement Aid Fund
Marie Doan IN SUM OF $
3 Civic Square
Carmel, IN 46032
$14.99
ON ACCOUNT OF APPROPRIATION FOR
Project 2012-911 Task 2012-2
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
I hereby certify that the attached invoice(s), or
911 I 42-302.00 I $14.99
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
Monday, August 20, 2012
Major
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund