220841 06/04/2013 ".f CITY OF CARMEL, INDIANA VENDOR: 360212 Page 1 of 1
ONE CIVIC SQUARE MATT WORTHLEY
CARMEL, INDIANA 46032 C/O CRC CHECK AMOUNT: $13.47
CHECK NUMBER: 220841
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 REIMB 13 . 47 OTHER CONT SERVICES
WELCOME TO
CIRCLE K
57 444 ,508208
S1D0522
Descr. qty amount
<CUSTOMER COPY>
.T DIET COKE FRIDGE 1 4.99
SM ICE BAG 7 LB 1 1 .99
Sub Total 6.98
Tax 0.35
TOTAL 7 . 33
CREDIT $ 7.33
XXXX XXXX XXXX
INVOICE: 216465 AUTH, #: 07462B
THANKS COME AGAIN
REG# 0004 CSH# OiO .DR# 01 TRAN# 49155
05/23/13 15:29:14 ST# 2368
6
iilF•;� '��FJ!'F fa:Bt �.-<`i,i 1':'f'
mom
C,o.;r-;.rl tii.r.r�,�.�,-C��t•trl,'r�,e'c'ts
Thanks for shopping
our friencliy store.
White ' s ACES Hardware-
Carme l
71'1 S Range[ine Rd
Carmel, IN 46032
:317-846-2311
MATTHEW WOFFILEY
ITEM _ OTY SAt.E;REL• EXT
07568591006.1 1.00 6.44s, 6.49
17458 EACH
MARKING PA[HT SPRY BLUE
r� SUBTOTAL F' 6.49
TAX 1 0.45
I'l,GTAL- 6 . 94
CRE017 I„4RD Ei 94
CARD .«..:,...+..
AUTH 09362B
EMPLOYEE TI:Rh INv# TIME DATE
2000009 1131: 244164412:56y 22-May-13
Your receipt guarantee:
your no-hassle-return.
4e're your :ounce for
Spring. Summer, Winger and fa[[
for a[I your hardware neeas.
I IN V I c I'm
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
IA/
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5-20-13 4915-9 n1ink r5meA',--ems for CE knccho9 �.
Total
I 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.
vedhle( ALLOWED 20
Af
IN SUM OF $
$ 13.47
ON ACCOUNT OF APPROPRIATION FOR .
Y01/ 435094Q
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
1h I 244 64 S bill(s) is (are) true and correct and that the
SS -C materials or services itemized thereon for
which charge is made were ordered and
received except
5-.)d- 2d,3
Signature
Title
Cost distribution ledger classification if Director of Redevelopment Title
claim paid motor vehicle highway fund