213185 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 354421 Page 1 of 1
4 ONE CIVIC SQUARE JASON STEWART CHECK AMOUNT: $140.00
CARMEL, INDIANA 46032
CHECK NUMBER: 213185
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 EMP2126 140 . 00 OTHER EXPENSES
USAA/My Accounts/Account Summary �laj� � Page 1 of 5
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Thursday,September 20,2012
FOUR STAR CHECKING
Account Overview
Account Number 64214524 Current Balance
Address JASON STEWART 713 S RAVENCREST AVE BLOOMINGTON Available Balance
IN 47401-4260 Interest This Year
Routing Number 314074269 Interest Last Year tos*
Transaction history
Date Description Category Amount Balance
Sep 20,2012 CARMEL PAY7838 Uncategorized 9=0013D WMEMM
Sep 19,2012 1
Sep 20,2012 8
Sep 19,2012
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Sep 19,2012 MEIJER INC#130 CARMEL IN Debit Card ($179.74)
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W.Carmel Dr.
Carmel, IN-#130
{337)573-8300 meijeccom
The Meijer Team appreciates Your business
09/18/12
Your fast and friendly checkout was
provided by Fastlane114
GENERAL ME. FCHANDJ_.SE
_ CT
CT
88324076588 MEN"S WORK BOOT 140.00 CT
TOTAL
IN 7% Sales Tax 11.76
TOTAL TAX 11.76
TOTAL 179.74
PAYMENTS
CREDIT CARDS TENDER 179.74
XXXXXXXXXXXX3912
NUMBER OF .ITEMS 3
See mei,jer.com or the Service Desk for
current return policy.
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VOUCHER # 125736 WARRANT # ALLOWED
T9957 IN SUM OF $
STEWART, JASON
WASTEWATER PLANT
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
72tv
EMP 2126 01-736,0-02 $140.00
Voucher Total $140.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T9957
STEWART, JASON Purchase Order No.
WASTEWATER PLANT Terms
Due Date 9/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/20/2012 EMP 2126 $140.00
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
Date Officer