HomeMy WebLinkAbout212732 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 241762 Page 1 of 1
t'. ONE CIVIC SQUARE PETTY CASH
% CARMEL, INDIANA 46032 LAW ENF AID FUND CHECK AMOUNT: $14.49
LAW ENF AID FUND CHECK NUMBER: 212732
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4239099 14 .49 OTHER MISCELLANOUS
CVS/phlicarmacy"'
1421 S. RANGE LINE RD, CARMEL, IN
(317) 844-2775
REG#13 TRN#8561 CSIIR 40717164 STR#8674
ExtraCar•e Card #: *)(******5881
F 1 RX #: x***7890010 6.44N
F 1 RX #: *�*0580010 8.62N l'� G1lF
F 1 R0240050 10.00N 67(` t� `L
1 CUS PNRLF EXCP 250C 19.49T -
4 ITEMS
SUBTOTAL 39.55
IN 7.0 TAX 1.01
TOTAL 90.56
90.56
*x*xx9XX*X*X#A MS
CHANGE .00
1111111 I I I i1III IIII II I III I I III III I III
2508 6742 2378 5611 30
RETURNS WITH RECEIPT THRU 10/23/2012
AUGUST 29, 2012 7:58 AM
F=FLEXIBLE SPENDING ACCT SUMMARY (FSA)
Prescription Eligible Total 25.06
FSA summary above includes items
(and tax) that may be elisible for plan
reimbursement. Restrictions may apply.
EE � MM AANNMM
SAVTNGS, REWARDSEAN[1N00 ME�DEALL..S.
THANK YOU. OPEN 24 HOURS 7 DAYS A WEEK
ExtraCare Card balances as of 08/15
Summer 2012 Spending: 44.38
----------- - ---- ---
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VOUCHER NO. WARRANT NO. I
ALLOWED 20
Petty Cash/Law Enforcement Aid Fund
Marie Doan IN SUM OF $
3 Civic Square
Carmel, IN 46032
$14.49
ON ACCOUNT OF APPROPRIATION FOR
Project 2012-911 Task 2012-2
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
911 42-390.99 $14.49
I hereby certify that the attached invoice(s), or
I I
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
Tuesday, September 04, 2012
Major
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/24/12 $14.49
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