222476 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1
0 ONE CIVIC SQUARE BARBARA LAMB CHECK AMOUNT: $625.00
CARMEL, INDIANA 46032 C/O HUMAN RESOURCES
CARMEL IN 46032 CHECK NUMBER: 222476
CHECK DATE: 7130/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 26421 625 . 00 WELLNESS PROGRAM
ro er
Great food .
Low prices .
1217 S. RANGELINE RD.
317-846-4818
YOUR CASHIER WAS SELF CHECKOUT
MR TARGET PUPPY,$25 25.00
GB **x*****x******0723 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB ***************0715 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB **x*x**********0707 25.00 Blnc
MR TARGET PUPPY $25 25.00..
GB ***x*x*x******x0699 25.00 Bins
MR TARGET PUPPY $25 25.00
GB xx*r,***xxx**x**0681 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB xx*x*x*********0673 '5.00 Blnc..
MR TARGET PUPPY $25 25.00
GB ***************0665 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB x*********x****4630 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB *********x****x9203 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB *x*x*x********x9211 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB xxx*x*****x****9229 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB ********x******0269 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB **************x0251 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB **xx***x*******0244 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB ***x******x****0236 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB **********x***x1222 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB **x*********x**1214 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB ***************1206 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB *xx*****xx****x1198 25.00 Blnc
MR TARGET PUPPY $25 25.00
GB **xx*****x*x***1180 25.00 Blnc
MR 5.00
GB *x*[!;RnPT xx*a �► 172 25 Blnc
MR RGET PUPPY $25 5.00
GB x** ***j L-i2 942013251 Blnc
MR RGET PUPPY $25 5.00
GB *x* *xxx****1156 25. 0 Blnc
MR PUPPY $?; 5.00
GB *****xxx**xx**x1199 25.00 Blnc
MR TARGET PUPPY $25 25.00,
GB x**xxx*****x**x1131 25.00 Blnc
KROGER PLUS CUSTOMER *******3091
TAX 0.00
**** BALANCE 625,00
021 KROGER #959
1217 S. RANGELINE RD.
CARMEL IN 46032
1' Purchase
TOTAL; 625.00
REF#: 01361R
DISCOVER 625.00
CHANCE 0.00
TOTAL NUMBER OF ITEMS SOLD = 0
07/13/13 11 :52am 959 84 36 999
JULY FUEL POINTS
REDEEM 10OPTS TO SAVE .10 PER GAL.
ON ONE PURCHASE OF UP TO 35 GAL.
SAVE UP TO $1 PER GAL AT KROGER OR
.10 PER GAL AT SHELL ON 1 FILL-UP.
FUEL POINTS THIS ORDER ® 1250
FUEL POINTS THIS MONTH - 1250
--------------------------------------
THIS MONTHS POINTS EXPIRE 08/31/13.
VISIT WWW.KROGER.COM/FUEL FOR DETAILS
***x*************x*****x********xx***x
BY USING YOUR KROGER PLUS CARD,YOUR
ANNUAL SAVINGS TO DATE IS $78.78
THANK YOU FOR SHOPPING KROGER
CUSTOMER SERVICE IS EVERYONE'S JOB.
LET ME KNOW HOW WE ARE DOING.
JILL WILLIAMS, MANAGER
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lamb, Barb
IN SUM OF $
$625.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
26421 01361R 43-419.80 $625.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, July 29, 2013
_G- A,�
Director, HR
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))
07/13/13 01361R Reimburse Gift Cards $625.00
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