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213011 09/25/2012 CITY OF CARME , INDIANA VENDOR: 248970 Page 1 of 1 ONE CIVIC SQUARE ANN GALLAGHER 0 CHECK AMOUNT: $46.62 CARMEL, INDIANA 46032 171 PARKVIEW COURT CARMEL IN 46032 CHECK NUMBER: 213011 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 851 5023990 46 . 62 OTHER EXPENSES a -. 'V \" IllowStenduMt too X11 L7 a'l= W.Carmel Dr. Cia-mol, IN--#.130 (317)5738300 meiJertom The Meijer Teem �prreciatss your business r` 09/18/12 Your fast and friendly checkout was provided by BRENDA GENERAL t,-lE:RCI-IAND.TSE: 7079855274 SPRAY PAINT 3 ® 1.29 3.87 CT T01- Al—TOTAL 7 AX .00 TOTAL 3.87 PAYMENT`> CASH TENDER - 5.00 CASH CHANGE 1.13 NUMBER OF 11 EMS 3 Ti ITEM VALUE EXI:MP;ED 3.87 Ti TAX EXEMPTED �' 27 T2 ITEM VALUE BFMP-ED .00 12. TAX EXEMPTED .00 '14 ITEM VALUE E)(FlIP"ED .00 T4 TAX EXEMPTED .00 See meiJer.com or thE: Service Desk for current raturn policy.. IIIIIIIIIIIII I�II� I IIIIIII VIII �II II I IIIIIIIIII Uvlf3002KMUEi3I1.S Tx:54 Op:2008141 'm:12 St:130 08:45:48 Vv � v � 3 Los 2003 E. Greyhound Pass Carmel IN 46033 (317) 818-9217 HOB-LOB #182 9: 18AN Sep 18/12 Ell-0001 001 SARAC #74710 2 Cd $11 .99 ART SUPPLY Ts23.98 TAX EXNP -r orjkL x23.98 x23.98 x23.98 CARD # OPERATOR ID SARAC 1,PPROVED APR# C 603675 FIEF# 22620819315 --------------------------------- THANK YOU PLEASE CONE AGAIN ''ETURN POLICY ON BACK OF RECEIPT ease go to www.hobbylobby.com -)r- weekly ads and coupons 7ecome a fan on Facebook Oii Of f 1c M ��4Z60�1JS'A�3;1�NOR.T:H�� CARMEL, IN 46032 (317) 818-2690 0907 01 3689 09/18/12 09:44:44 AM SALE 078541169159 $5.99 Hand Tally Counter SubTotal U 1-1—1 M W- TOTAL $5.99 Cash $10.00 Change $4.01 Tax Exempt ID: 000301328885 71600-00001-62120-09010-80260-90034 nq0]P _6 i` i7 W,, Tell us about your shopping experience and get $5 off your next $25 purchase. Visit officemaxfeedback.com and enter the following Survey Code: 0 0907-0.1-3689-9E MX�Mo EM, OfficeMax doesn't just provide great values, we also live them. OfficeMax has been named one of 2012s World's Most Ethical Companies. For more information visit OfficeMax.com/ethics. ORDER BY PHONE 1-877-OFFICEMAX ORDER BY WEB www.officemax.com 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)) $5.99 $23.98 $3.87 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 Ann Gallagher IN SUM OF $ $33.84 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members r 1120 j 120-851.00 j $5.99 1 hereby certify that the attached invoice(s), or 1120 120-851.00 $23.98 bill(s) is (are) true and correct and that the 1120 I 1 120-851.00 I $3.87 materials or services itemized thereon for which charge is made were ordered and received except SEP 2 4 2012 s Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund LOEin *,,,C 2003'E, GreyF ound %Pass Carmel IPJ 46o'B (317) 818-92171 'HOB-LOB #182 1j �i 12:59Pr4 S,'ip 21x'12 011-0001 007 TABATE 1#5!5721 C'RhFTS 1 T$9.99 2 C) $1 .99 , XIRT SUPPLY T$3.98 319°0 Discount l -30.00 '. T-1 . 19 TAX EXNP T OTAL � $12.78 $12.78 -______- - $12.78 OPERATOR ID TABATE APPROVED I AIPIR# 0';1.432693 IRIEiF#---1--.------- 22�1�',"��'1203108 THANK Y L "i PLE4SE COME �AGAIVi IRETURN POLICY ON BACK Of��RECEIPT Please clo -to (AM h�bbuIc fby.com f or week 19 ads a d- cis(41.ons Become a fan on Facei"look )rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by nrhom, 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)) $12.78 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 Ann Gallagher IN SUM OF $ $12.78 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 1 120-851.00 I $12.78 1 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 SEp 2 A 9 R19 t Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund