213532 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: T357033 Page 1 of 1
t�tONE CIVIC SQUARE SHARON KIBBE CHECK AMOUNT: $7.47
° CARMEL, INDIANA 46032 827 WINTER CT
CARMEL IN 46032 CHECK NUMBER: 213532
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 7 . 47 PROMOTIONAL FUNDS
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#03231 1215 S RANGE LINE RD
CARMEL IN 46032
317-�71-1176
550 0462 0022 09/24/2012 4;06 PM
H/MARK MED G/BAG FROSTED DOTS PPR
79590208218 A 7.47
3 @ 2.49
SUBTOTAL 7;47
SALES TAX A=7.0%
TOTAL 7.99
VISA ACCT 7342 7.090
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Sharon Kibbe
IN SUM OF $
827 Winter Court
Carmel, IN 46032
$7.47
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1160 Receipt 43-551.00 $7.47 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
Friday, October 05, 2012
f � -
May r
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))
09/24/12 Receipt $7.47
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