213616 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $17.10
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE
v«o� C/O MAYOR'S OFFICE CHECK NUMBER: 213616
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 17 . 10 FESTIVAL/COMMUNITY EV
_ C
W.
Avg,
e ' There's away'"
#03231 1215 S RANGE LINE RD
CARMEL, IN 46032
-317-571"-1176 cas
155 6731 0021 09/25/2012 5:05 PM
(H)TOOTSIE DRC11 0I3ML APL POP Z
07172000788 A 5.98 LE
2 C 2.99 I O
REGULAR PRI('E 3.19
SAVINGS 0.40
:.•;k',EiEY MINIATURES 19.7502
3400021421 A 5.99 SALE .:..::
REGULAR PRICE 13.99
.SAVINGS 1 00
. ETMARVEST FAIRE t
":.:.114902261330 A
1 .39
`;`:'SUBTOTAL 23.09
'".SALES TAX A:=7.'J% 1 .62 ,n
1 �
`r-TOTAL 24.71 1 '
.,:..DEBIT CARD 24.71
i-1ANGE .00
STORE ADVERTISED SAVINGS 1 .40 �t
THANK YOU FOR SHOPPING AT WALGREENS or--�
TOTAL SAVINGS 1 . 40
SAVINGS 'VALUE 6% '
REDEEM Al THE REGISTER KITH AS FEW AS
5000 POINTS. RESTRICTIONS APPLY, SEE (� r
PROGRAM RULES FOR DETAILS. a `Q
RFN# 03$$23-1II216-7311-12!!09-2503
II IIIIIIIIIIII�IIIII Ii�lll�li IIII�II��III�IIIIII i��III�II�II�Il��III
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash - Mayor Brainard
IN SUM OF $
One Civic Square
Carmel, IN 46032
$17.10
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 Receipt 43-590.03 $17.10 I 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
Saturday, October 06, 2012
"y Community Relations
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))
09/25/12 Receipt $17.10
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