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PETTY CASH/ DON CLEVELAND -002551 -12/22/2011
CARMEL REDEVELOPMENT COMMISSION 0 0 2551 Petty Cash/Don Cleveland Check: 2551 Date: 12/22/2011 Vendor: PETTYCA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paic 4 68.77 68.77 0.00 0.00 68.7 Reimburse petty cash 68.77 . 68.77., 0.00. 0.00 68.7i • • Date 7 —(( Amount 4/2 . 2 y Description 1 a f{-.i(eof )- a- 1/4 CI< cce/'t"f°^Y Welcome To Loges# y�r � , CAl b ■ �(�[ P4%, !l /Gw( 11207 DemottetIhlGd 10 1. 6/. AA 4.IA}4 ^d. Avvol 12/a3i I i 11 :28 1N/ $Z. +G I Sox . Pump Gallons Prige � ©$ - :2.-8 021--$3.299 70:1;ea'� Product Amoua: Unleaded $ 42.i.1; it#tt#A#tttt it0117232 Received By Card: VISA Approval: 00053G Ticket: 15175 Thank You ??! PI/ Date I Z- 2 ` it Amount 1 a(o.S" Description Food -R„ Spc&lcc l flfVtt7 - trc1/4 Received By • • • Now ReVcc, . _ . • • -• Centers & Participating Sheiis: • Redeem 10Opts to save .10, per-gel. Save up to $1 per gal at Kroger OR .10 per gal at Shell on 1 fill-up. . �� FUEL POINTS THIS ORDER - 26 • FUEL POINTS THIS MONTH - 26 ( Rrojer Each month is a separate accumulation Period. Previous and Current months Points do,not combine, . Highest unredeemed discount from last OR current. mon.fh•offered,at the-pumP ,. , This months points expire 01/31/12, M o r e vas 1 ue f o r t h e See Store for Details Restrictions warms on 1 iva _ Or Visit www.kroger.com '1' *********1F********IF**************M**** 1217 S. RANGELINE RD. 317-F06-•4818 *SEE WHAT YOU ARE SAVING TODAY* YOUR CASHIER WAS SELF CHECKOUT KBLR COOKIES PC 2.00 F YOU SAVED $3 . 37 SCROGER PLUS CARDLIISAVINGS 0*78****6579 WITH YOUR PLUS CARD KBLR CKY - PC 2.00 F SC PLUS CARD SAVINGS 1 ,89 BY USING YOUR KROGER PLUS CARD,YOUR RITZ CRACkRS PC 3.39 F ANNUAL SAVINGS TO DATE IS $245.60 SC ;,PLUS CARD 'SAVINGS 0.20 ''FRITOS CHIPS 7.13 F THANK YOU FOR SHOPPING KROGER , 'DT COKE PC 4.69 B ' SC r PLUS CARD 'SAVINGS 0.50 r GROH APL 1RYF- 6.99 F TAX 1 0.33 i CUSTOMER SERVICE IS EVERYONE'S JOEL *4** BALANCE .-s`4 . 26.53 ` LET ME KNOW HOW WE ARE DOING. 021 KROGER 4959 . JILL WILLIAMS, MANAGER ' 12171.S. RANGELINE RD. - , CARMEL IN 46032 VISA Purchase- **'ATTENTION*** **** *******7143 - TOTAC26.53` ' ` ' - - ' . REF#: 053043 Earn Double Points on Everyday Shopping at Kroger* VISA 26.53 CHANGE 0.00 Save an additional 10 cents TOTAL NUMBER OF ITEMS SOLD = 6 • off per Gallon** At Kroger Family Fuel Centers *********i:* KROGER SAVINGS *********** , Offer expires 12/31/11 KROGER PLUS SAVINGS ' $ 3.37 TOTAL SAVINGS (11 pct. ) $ 3.37 Apply for the Kroger *********+:* KROGER SAVINGS *********** I 1-2-3 Rewards Visa Card 12/01/11 04:30pm 959 80 69 999 3 EASY WAYS TO APPLY TODAY ENTER TO. WIN 1,In store with this receipt at the ONE OF 20 service desk with your iriformation: $100 GIFT CARDS . - 1 1 DATE 12/01/11 You are invited to' complete a survey STORE 11 959 ' about your recent visit to Kroger REGISTER 4 80 Answer by Internet @ 'CASHIER 4 999 www.tellkroger.com DIVISION CODE: 021 You heed this receipt to respnnd Present two valid forms of ID- ******* 2.Online uww.123rewardscard.com/9013 • r wttfi:e**ti 3 a,! phone at 1-866-256-8093 RI . ., - ,i i El.: , „ 1 PrescribEti 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. U Payee �//f0-7 Cei / cr C'4, Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) /2-74/ �Z /Zo7 y . y- lff • t 4(2 .2 y - /2-U2// !/Od/ 2 c3 • .�e l7 Total .6 x;77 • I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have . •.1 _. e in accordance with IC 5-11-10-1.6. , (a—Y( 20 h Clerk-I- -asurer VOUCHER NO. WARRANT NO. ALLOWED 20 (29 0 /Z1,7 r/Y!J��f<ipl ✓j IN SUM OF $ $ -77 ON ACCOUNT OF APPROPRIATION FOR 9./7 2— Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify invoice(s), DEPT.# I hereb certif that the attached or 9°'� 8239095 GE-'7 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 /2 —// 20 7/ Signature Executive Director ittle Cost distribution ledger classification if claim paid motor vehicle highway fund Cannel Redevelopment Commission