DON CLEVELAND -002188 -8/18/2011 CARMEL REDEVELOPMENT COMMISSION 0 02188
Don Cleveland Check: 2188
141 Stony Creek Overlook Date: 8/18/2011
Noblesville, IN 46060 Vendor: CLEVELA1
Prior
Invoice P.O. Nym. Invoice Amt Balance Retention Discount Amt. Paid
1583219 32.98 32.98 0.00 0.00 32.98
stamp and flash drive
32.98 32.98 -0.00- 0:00 _ 32.98
1 4;
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******************************************
QTY SKU PRICE
REWARDS NUMBER 5354619123
1 BROTHER STAMP 2770
712200 26.99N
1 SANDISK 4GB CRUZER suoiniou Ase3
619659000127 17.99N
100% Price Guarantee $5.99 -12.00
SUBTOTAL 32.98
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Tax Exempt Number 4078950369 ° '.suin{al/dowsaidels'ie Jo
woo saldelS'S'n pea 10 ilsa0 aoIAJas Jawoisno algellene
TOTAL $32.98 s!Ao!Iod II' all •Aogod UJn1alj mu) !slued e sr sly!
�dlaoaJ e;noy]!nn Jo gilts suJnlaJ aulloap
01;y6u an saMasaJ saldeis'paJ!nbaJ Si uolleollyuapl luawuieA06
P!IeA'saJOls•s'n Jno ul s(ep 08 snolnald aye wgIIM aaud
32.98 6wpas Isom'aye-101 11130.13 aJOis-ul ue JO4 Apo algl6pa sr wn}aj
Card No,: XXXXXXXXXXXX1600 [ JnoA'ldlaaaJ JnoA aney i,uop noA e;noyl!M suan�aa
Auth No. : 02045Z •moayo alemodmoo (q anew
0g II!M 000$Jano SpUnjOJ M30143 pue yseo•uogoesuUJl leu!6uo aye
ul pasn se luew(ed Jo pillow awes aye ul apew aq II!nn spume,
TOTAL ITEMS 2 `AIIUJauag'Aa!lod uJnlad aoue!ldwoo u!pue 6ul6e>loed
!ewbim&uiiM UOUIpUOa a1Qea105 UI oaUJnlaJ as isnw aseuDJnd mill
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See an associate for details. 0517 08/03/11 02:27
1111 1111111111111 111111{{ III 1 ii 1111 1 ******************************************
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and b• entered into a monthly draw ng .,,
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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.
J /
Payee
Purchase Order No.
/zl/ 5 7L�•ma C`•-� �� Ova.-/o�� Terms
/(-16)6/°06//14 / 7/ Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/34 /5 3 z-/� 44,77 �;i/ /Q,l ,4' V -2-}b'
Total 32.26'
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct ..e - :.• -. :me in accordance
with IC 5-11-10-1.6.
6-0 , 20 '(
-4-eterk-Treasurer
VOUCHER NO. WARRANT NO.
/ ALLOWED 20
D019 Ol c '- /9.7 C�
- IN SUM OF $
/4�/ .s tG,,y �'rP�.� O '-/crk
/4,1 `7/6�J60
$ ,?2 98
ON ACCOUNT OF APPROPRIATION FOR
2
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify invoice(s),
DEPT.# I hereb certif that the attached invoices , or
9�2
/5-. -2/ 52 3oz(. 32.98 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
-b 20//
:; - . -
Signature
Carmel Redevappment Commission
Cost distribution ledger classification if
claim paid motor vehicle highway fund