213951 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 354296 Page 1 of 1
t ONE CIVIC SQUARE HOBBY LOBBY STORES
CHECK AMOUNT: $48.91
CARMEL, INDIANA 46032 PO BOX 960070
OKLAHAMA CITY OK 73196-0070 CHECK NUMBER: 213951
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 9107794 48 . 91 PROMOTIONAL FUNDS
U
7707 SOUTHWEST 44th STREET PAGE:
OKLAHOMA CITY, OKLAHOMA 73179 1 of 1
FED. I.D.#73-1032203 FAX#(405)745-1512
Account Inquiries https:Hcards.hobbylobby.com/archarge or(877)303-4938 DATE:
Email:acctsrec @hobbylobby.com 09/30/2012
CITY OF CARMEL-MAYOR'S OFFICE
ATTN: SHARON KIBBE ACCOUNT NO.
1 CIVIC SQUARE 9107794
CARMEL IN 46032
CARD N0. 79000017550
%DAI I 1 J ' 0 M . ' 1
09/04/12 Charge 35600633 090412 27.92
09/04/12 Charge 35600477 090412 29.87
09/04/12 Return 35600604 .29.87
09/05/12 Adjustment 29:87 .
09/05/12 Adjustment 29.87
09/27/12 Charge 35813977 20.99
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48.91 0.00 0.00 0.00 0.00 4891 on
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2003 E. Greyhound Pass
Carmel IN 46033
/317\ 818-9217 '
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HOB-LOB #182
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iU�5QAN Sep 27/17
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VxJ-jES r$11 .00
. W4UES r$19.09
)[ Discount
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TAX ENNP
I �'Pl[A8_ $20.99
Ak -ARD $70.99
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AR �+LRD $20.99
CiARb # l
' NTER PO#
OPERATOR ID AMNDL
APR# C 813977
--------------------------------
THANK YOU
PLEASE CONE AGAIN
RETURN POLICY ON BACK OF RECEIPT
Please go to www.ho66glob6g.com
for weekly ads and coupons
8p,nme o fan on Focebook
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2003 E. Greyhound Pass PA -
Carmel IN 46033 r
317 818-9217 R,� ` r
HOB-LOB #182 2003 E. Greyhound Pass
fur -1�`X Carmel IN 46033
5:21PM Sep 4/12 (317) 818-9217
01-0001 008 DIANAF �� woe-Los #182
it36334 ���OS�S
5:26PFi Sep 4/12
':IRFt'�fii3:i. 01-0001 008 DIANAF
Receipt Date 090412 #36335
Receipt Store 182
Receipt Number- 36333 3 C $3,99
Regisi:er Number 8 SEWING T$11 .97
Reason Returned 7 2 @ $4.99
CARDS PARTY T$9.98
x -- ----=--------------------- 2 @ $0.99
Cost Flame CARDS PARTY T$1 .98
(Please Print) CARDS PARTY T$3.99
TAX EXNP
X _
Cust Signature T OTAL $27.92
AR CARD $27.92
ALL. REFUNDS
REQUfRE MANAGER AR CARD===-^+--=-------===$27.92
APPNIOVAL -_--CARD #
ENTER PO# 090411
` \ I OPERATOR ID DIANAF
'!.g!- Signature APR# C 600633
SL6dIP-iG T-11 .97 THANK YOU
c @ $4.99 PLEASE COME AGAIN
CARDS PARTY T-9.98 RETURN POLICY ON BACK OF RECEIPT
2 @ $0,99 Please go to wow.hobbylobby.core
CARDS PARTY T-1 .98 for- week 1 y ads and coupons
CARDS PARTY T-3.99 Become a fan on Fnr.t,nn1.
Subtotal -27,92
Tx 7,000 -1 .95
T O T A L -29.87
AR CARD -29.87
AR CARD -29.8. 7
CARD # 1-',i: A- A- :.+,-�:-�
ENT ER 1--,'F
OPERAT( .11
APR# „
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hobby Lobby
IN SUM OF $
P. O. Box 960070
Oklahoma City, OK 73196
$48.91
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1160 35LOO633 43-551.00 $27.92 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1160 977 43-551.00 $20.99
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, October 19, 2012
Mayor
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))
09/04/12 35600633 $27.92
09/27/12 35813977 $20.99
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