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Home My WebLink About213997 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1 ONE CIVIC SQUARE BARBARA LAMB ° CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK AMOUNT: $500.00 CARMEL IN 46032 CHECK NUMBER: 213997 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 26421 02064R 500 . 00 WELLNESS PROGRAM r r Mur-w value for -thw wag" you 1 f ve . 1217 S. RANGELINE RD. 317-846--4818 YOUR CASHIER WAS SELF CHECKOUT KROGER PLUS CUSTOMER *******5406 MR TRGT PUP $25 25.00 GB ***************9147 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************9159 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************9162 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************9188 25..00 Blnc MR TRGT PUP $25 25.00 GB ***************9196 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************2338 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************2346 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************2353 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************5170 25.00 Blnc MR TRGT PUP $25 25.00 GB *** ***********5188 25.00 Blnc TRGT PUP $25 25.00 _GB ***************5196 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************0930 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************0948 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************0955 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************0963 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************0971 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************0989 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************0997 25.00 Blnc MR TRGT PUP $25 25100 GB ***************9139 25.00 Blnc MR TRGT PUP $25 25.00 GB ***************9170 25.00 Blnc TAX 0.00 *** BALANCE 500.00 021 KROGER #959 1217 S. RANGELINE RD. CARMEL IN 46032 TOTAL: 500.00 REF#: 02064R DISCOVER 500.00 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD = 0 10/20/12 08:17pm 959 85 178 999 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)) 10/22/12 02064R Gift Cards $500.00 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Lamb, Barb IN SUM OF$ $500.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26421 02064R 43-419.80 $500.00 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 Monday, October 22, 2012 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund