PETTY CASH/DON CLEVELAND- 003204- 10/3/2012 CARMEL REDEVELOPMENT COMMISSION 0 0 32 U 4
Petty Cash/Don Cleveland Check: 3204
% Carmel Redevelopment Comm. Date: 10/3/2012
30 W Main Street, Suite 200 Vendor: PETTYCA1
Carmel, IN 46032
Prior
Invoice P.O. Num, Invoice Amt Balance Retention Discount Amt. Paid
100312 112.77 112.77 0.00 0.00 112.77
Reimburse petty cash
112.77 112.77 0.00 0.00 112.77
•
THE KEYwTU DOCUMENTysEcuRIITY O HEATTACTIVATED,THUMD PRINTZ WDITIONAQSECURI7MEATURES INCLUDEDDSEE JECACKFPR DETAIL'S_
T*06 DE% Carmel Redevelopment Commission 003204
` � 30 West Main Street REGIONS
Suite 220 xo-taetnao
`"unit- Carmel, IN 46032
075TRIGt
3204
DATE AMOUNT
10/3/2012 112.77
PAY THE SUM OF ONE HUNDRED TWELVE DOLLARS AND 77 CENTS
TO THE
ORDER
OF Petty Cash/Don Cleveland
% Carmel Redevelopment Comm.
30 W Main Street, Suite 200
Carmel, IN 46032
1.00320411' 1:0740L42L31: 0087504 LL L11'
CARMEL REDEVELOPMENT COMMISSION 003204
Petty Cash/Don Cleveland Check: 3204
% Carmel Redevelopment Comm. Date: 10/3/2012
30 W Main Street, Suite 200 Vendor: PETTYCA1
Carmel, IN 46032
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
100312 112.77 112.77 0.00 0.00 112.77
Reimburse petty cash
112.77 112.77 0.00 0.00 112.77
(.11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-71771 J;2�
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WIieie Creativity I.Iappens-
II1ChAELS STORE 119189 (616)647-9483
MICIIIELS STORE 119189
3310 IY,PINE AVE It] U•1T
• WALKER, MI 49544 ite /V-2-/2 Amount
1_0,mll4 Oust: Valued Ctsiomer Description /7
,-74 G61'7 72F,174
Lcnlal l!1 Phmber: LRP50002414329
LoAa119 Level: Bold
KK Return Ba'code **
8-?)45-6455-38`h-9089-1111-8110-1705-8858
11111 IHI1 Ii IIH
427 SALE 44)4 9189 COel 9/30/12 13:15
.M SET (PG 810 90672011305 1.99 1.99 7
SE1 6P0 BIG 90672011305 1.99 1 @ 1.99 l
SET 6PC BIG 90672011305 1.99 1 @ 1.99
MARKER PACK( 100100985861 2.49 I @ 2.49
,1JI • MARKER POCK( 400100985E61 2.19 I @ 2.49 I
i
nI I G-
'! MARKER PACK( 100100985861 2,49 I @ 2,49 I :eived By N A,tvn_t-Q, F-
MIKI:R FACKI 100100985861 2.19 1 O. 2.49
MARKER PACK( 400100985861 2.49 1 0 2.19
. MARKER PACK( 100100985861 2.49 1 @ 2.49
MARKER PACK( 400100985861 2.49 1 @ 2.49
• : 1.11112KER PACK( 100100985861 2.49 I @ 2.19 I
• • '. MARKER PACK( 400100985861 2.49 I 0 2.49 I
• I MARKER PADS( 400100985861 2.49 100 2.19 I
._..1 HARMER PACK( 100100985861 2.19 I @ 2.49
11111I MARKER PACK( 100100985861 2.49 1 0 2.19
MINI MARKER PACK( 400100985861 2.49 1 @ 2.19
MINI MARKER PACK( 400100985861 2.19 I @ 2.49 I
MI111 MARKER PAM 400100985861 2.49 I Ip 2.19 1
MINI MARKER PACK( 100100985861 2.19 1 0 2.49 I
11IM1 MARKER PACK( 100100985861 2.19 1 @ 2.49
'WAS ORP ENE 400100862520 11.99 I @ 11.99
CANVAS 0 P EifE 400100862520 11,99 1 @ 11.99
'19.18I0TAI - 72.28
L 'SM_ES TAX 6% 4,31 9)^3
ti TOTAL 76.62 :i,15 '
ACCLIXJT I.1NBER ;<**s*ax .>tiE2027
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• #03231 1215 S RANGE LINE RD #03231 1215 S RANG
CARMEL IN 46032 CARMEL IN 4
317-571-1176 C-l _
317- /I Ii 1 '0_
466 8374 0022 08/14/2012 1 :59 PM 418 3561 0321 09/1U/'d 1.: 12:47 PM
COKE DIET FRIGPK CAN 120Z 12PK COKE DIET FRIGPK CAN 1207
A 4
04900002891 04900002891 02391
REGULAR PRICE 5.49 .49 SALE 3 8 3.99 or 3/11 .00 A r
SAVINGS 1,00 REGULAR PRICE 5.49
SUBTOTAL • 4.49
SAVINGS 5.47
SALES TAX A=7.0% 0.31 I SUBTOTAL 11 .00
TOTAL SALES TAX A==7.0% 0.77
;MASTERCARD ACCT 2027 0 Tillsl 11 1 .77
CHANGE _ ,00 NI.Ii:r;LARD ACCT 2027 11 .77
SlilRL ADVERTISED SAVINGS 1',00 .:E 3n
TOTAL SAVINGS 1 . 00 �,J�tE ADVERTISED SAVINGS 5
SAVINGS VALUE 18% TOTAL SAVINGS S 5 . 47
RFN# 0323-1228-3744-1208-1403 SAVINGS VALUE 3 3% i
MllllllllllllllllllllllI IIllllllllllllllllII Oillllllllllllllf ' 1iiii 111IlllllllllllllllllI illI IIllllllJI!hllI llfllllllllMllllJ
OPEN 24 HOURS .• ' ; I.t
SAVE ON YOUR PRTHANK BY JOINING ' . OPEN 24 HOURS
NALGREENS PRESCRIPTION'SAVINGS CLUB ; ,' THANK YOU
SEE PHARMACY FOR DETAILS : '''H How a r•e we doing? I
How are w e do i n ? Enter our monthly sweepstakes for
Enter our monthly sweepstakes for 3 , 000 cash'
$3 , 000 cash Visit
Visit WWW • WAGCARES . CUM
WWW . TELLWAG . COM • or call tol I freer
1 or rail tall free
or cal toll free 1 -800-858— 1 584
within 7O2Ohours6to take a short surveynabout!icily s short
survey about this-Walgreens visit
SURVEY# �, -URVEY#
0323- 1228-374 03 1213-561
PASSWORD
PASSWORD 1120- 9100.-321
4120-8140-316
1' :: .
• Sri�iG�n'7�r;�� .�2�. '
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#03231 1215 S RANGE LINE RD
CARMEL IN 46032
317-571-1176
218 6813 0021 09/26/2012 9:59 AM
COKE DIET FRIGPK CAN 120Z 12PK
04900002891 A 5.49
HOME CITY ICE BAG 7L8
07330920007 1 .59
SUBTOTAL 7.08
SALES TAX A=7.0% 0.38
MASTERCARD ACCT 2077 7;46
CHANGE .00 • • .
Trans History Reprint
THANK YOU FOR SHOPPING AT WALGREENS
Server: P'A/CASH U
•111 KNOW THAT YOU'CAN EARN POINTS Table: Carry our.
OREM OF ITEMS IN-STORE AND.•? SEE OUR WEEKLY AD FOR MORE,. 9/26/2012 5:02:29 PM
`F1ATION. RESTRICTIONS APPLY,-SE j
'AM RULES FOR DETAILS. • CHEESE 16" (15.10)
--- Whole ---
�' RFN# 0323=1216-B131-1209-2603
+ Pepperoni
�3;rI IIIIIIIIIIIIIIII I�IIIIIIIII�IIIIIIIIIIIIIII IIII IIIIIIIIIIIIII CHEESE 16" (21.10)
--- Whole ---
+ Italian Sausage
• balance!"rewards + Pepperoni
• + Ham
How are we. doing? + SaCO11
Enter our monthly sweepstakes for SINGLE COOKIE (2.75)
$3 , 000 cash
Subtotal: $ 38,95
'Visit Discount: $ 0.00
WWW . NlAiGCARES . COM Coupon: 0.00
or call toll free Total: $ 38.95
1 -600-650- 1564 Ta•;es: $ 3,51
rithin 72 hours to take a short,
Grand Total: $ 42.46
rrvey about this Nalgreens' visit
•
SURVEY�X Cash 50.00
0323- 1216-613
RASSNORD T
1120-9260-321
7 :tr e#nrp Or
'P' 1)9, ?z
MCIP45
Where Creativity I lappens'
MICIIAELS STORE 89189 (6161617-9483
•
MIUTAELS STORE 89189
3310 iAIPING AVE NW LWIT 5
WALKER, MI 19511 ate Xi-2" 7 Amount `/�C �
Loyalty Cust: Valued Customer escription GO'1//',A /cp, / °,7
Loyal hi Number: TM/93002111329 /'
loyal t9 Level: Gold
*K Return Bercode NN
• 8-9995-6455-3895-9089-1111-811O-1705-8858
1[111 11 11111 ili, 1 111 1 HI
129 SE 4919 9189 001 9/30/1y22 13:15
Y9 1 5I
NO SET Alt BIG 90672011305 1.99 1 Ii I.99/\)
RNU S[1 6PC BIG 90672011305 1.99 I @ 1.99 (
SET GPC BIG 906720113% 1.99 I @ 1.99
MINI MwiKER PACK( 400100985861 2.49 1 @ 2.99
MINI MARKER PACK( 400100985861 2.99 1 @ 2,49 II
MINI MARKER PRCX( 900100985861 2.49 1 @ 2.99 I ceived By i/7 et-*u-Q. �; 0- C� ii
MINI MARKER PrCK( 100100985861 2.49 1 @ , 2.99 J 7
MINI MARKER PACK( 400100985861 2.99 I @ 2.99
MINI MARKER PACK( 100100985861 2.99 1 @ 2.49 1
MINI MAKER PR(Ht 100100985861 2.99 I @ 2.49
MINI MRRKER PACK( 100100985861 2.49 13 2.19 I
MINI MARKER PFCF(( 100100985861 2.19 I @ 2.99
MINI MARKER PAY( 100100985861 2.49 1 @ 2.19
MINI MARKER PACK( 100100985861 2,49 I @ 2.49 1 ___
MINI MAKER PI1CK( 400100985861 2.49 I @ 2.49
MINI MARKER PRcK 900100985861 2.19 1 @ 2.19
MINI MARKER PICK( 9%100985861 2.49 I @ 2.99
MINI MARKER PACW. 100100985861 2.99 I @ 2.99
MINI MARKER PAM: 100100985861 2.99 1 @ 2.19
MINI MABBER PACK( 400100985861 2.49 1 @ 2.19
(PNVRS P Gl1GE 100100862520 11.99 1 @ 11.99
CANVAS ' ERGE 400100862520 11.99 1 @ 11.99 I•
�/ a TAX'6% 9.34 1 533 ,
1 Mk 76.62 "'15
t
ACCOUNT NUMBER •f ,**,s*.2027 .)-01 9AMASTERURD 76.62 1..\\.4.
APPROVAL: 0155911 SWIPED ONLINIE
SIEPMAIIE L MARSM4L
cAeFheo, Marsha\I
W aioaWatt
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#03231 1215 S RANGE LINE RD #03231 1215 S RANGE LINE RD
CARMEL IN 46032 CARMEL IN 4603;:
317-571- 1176 317-571- 1178
466 8374 0022 08/14/2012 1 :59 PM 418 3561 0021 09/10/2012 12:47 PM
COKE DIET FRIGPK CAN 120Z 12PK COKE DIET FRIGPR CAN 120Z 12PK
04900002891 A 4.49 SALE 04900002891 A 11 .00 SALE
REGULAR PRICE 5.49 3 @ 3.99 or 3/11 .00
SAVINGS 1 .00 REGULAR PRICE 5,49
SAVINGS 5.47
SUBTOTAL 4.49
SALES TAX A=7.0% 0.31 SUBTOTAL 11 .00
TOTAL ��gp SALES TAX A::7.0% 0.77
MASTERCARD ACCT 2027 x-8'0 TOTAL 11 .77
CHANGE .00 MASTERCARD ACCT 2027 11 .77
CHANGE .00
STORE ADVERTISED SAVINGS 1 .00
STORE AUVERI'ISED SAVINGS 5.47
TOTAL SAVINGS 1 . 00
SAVINGS VALUE 18% TOTAL SAVINGS 5 . 47
SAVINGS VALUE 33%
RFN# 0323-1228-3744-1206-1403
111111111111011111I1111111HIMMINII RFN# 0323-1213-5611-1209-1003
MIBIIIIIIRIEJ 111111114IIIMIII1IIIIIT
OPEN 24 HOURS •
THANK YOU OPEN 24 HOURS
SAVE ON YOUR PRESCRIPTIONS BY JOINING THANK YOU
WALGREENS PRESCRIPTION SAVINGS CLUB.
SEE PHARMACY FOR DETAILS How are we doing?
Enter our monthly sweepstakes for
How are we doing? $3 , 000 cash-
Enter our monthly sweepstakes for
$3 , 000 cash Visit
WWW . WAGCARES . COM
Visit *******************
WWW . TE�LWAG . COM or call toll free
or cal toll free 1 -B00--65E1- 1 584
1 -800-763-0547 within 72 hours to take a short
within 72 hours to take a short survey about this Walgreens visit
survey abut this Walgreens visit
SURVEY,?
SURVEY#
0323- 1213-561
0323- 1228-374
PASSWORD PASSWORD -
4120-8140-316 1120- 91 [10-321
For contest rules see store or
For contest rules see store or W{�1W.WAGCARES.COM
WWW.TELLWAG. COM
aye
i 'There's a way`"
#03231 1215 S RANGE LINE RD
CARMEL IN 46032
' 317-571-1176
218 6813 0021 09/26/2012 9:59 AM
COKE DIET FRIGPI( CAN 120Z 12PK
04900002891 A 5.49
HOME CITY ICE BAG 7LB
07330920007 1 .59
SUBTOTAL .
SALES TAX i=7 .0% 0:38
TOTA
l MASTERCARD ACCT 2021 7.46
CHANGE .00
Trans History Reprint
THANK YOU FOR SHOPPING AT MALGREENS
Server: FM/CASH U
DID OU KNOW THAT YOU CAN OINTS Table: Carry Out
ON HUNDREDS OF ITEMS 1N-STORE AND
ONLINE? SEE OUR WEEKLY AD FOR MORE. i. 9/26/2012 5:02:29 PM
INFORMATION. RESTRICTIONS APPLY.'SEE -
PROGRAM RULES FOR DETAILS. - CHEESE 16" (15.10)
RFN# 032311216-8131-1209-2603 + Pepperoni
IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII CHEESE 16" (21.10)
--- Whole ---
+ Italian Sausage
ti, balance rewards
+ Pepperoni
_ + Ham
How a re wee doing? + Bacon
Enter our monthhy sweepstakes for SINGLE COOKIE (2.75)
$3 , 000 cash •
Visit Subtotal: $ 38.95
www . UTACCARES . COM
Discount: $ 0.00
onik**t*****i***** Coupon: $ 0.00
"or call toll free •' . . Total: $ 38.95
1 -800-65E1- 1584 ;' • Taxes: $ 3.51
within 72 hours to take a short
survey about this Walgreens visit Grand Total: $ 42.46
SURVEY# Cash 50.00
0323-1216•-813
PASSWORD Tear,_* i .,111 ;-'
11.20-9280-321 •
For''contest' ?b1es see store or
WWlLlflGCARES .COM =
.. ♦-GU_,bC,.W% .Y' C, t— t':..slie
.b yg, 9z
Prescribed by State Board of Accounts OM Fonti 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.
y�
Payee
Poo C,4,4 /00.> Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/0-3-/i /&03 72 7,?p.,47_14frsr %'/f C4,-4 //2 .7?
Total 1/ 2 - 7�
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I ha c an.' =e ame in accor-
dance with IC 5-11-10-1.6.
10 -8 , 20 iZ-- L �
- k-Treasurer