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225047 10/08/2013
i CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1 ONE CIVIC SQUARE PETTY CASH CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK AMOUNT: $20.00 LION GO C/O MAYOR'S OFFICE CHECK NUMBER: 225047 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4355100 20 . 00 PROMOTIONAL FUNDS ,ez V C)4"C)l a© 1424 West Carmel Dr. �\rJ Carmel, IN 46032-#f130 IU` ` (3171573 83()0 meijei.rom e the Meijer Team appreciates your business 10/05/13 Your fast and friendly checkout was provided by Fastlane106 cov) MEI.JER SAVINGS � \ SPECIALS , 1.90 UUU . AVINGS TOTAL 1 . 9G. :OCERY �® , �® )34600009 CANDY 10 ® 2 / 4.00 was 21.90 now 20.00 �T AL Tar, T '-.YMENTS 3A Payment TENDER '!(XXXXXXX5456 NUMBER OF ITEMS 10 ee meijer.com or the Service Desk f— current return policy. additional savings and details vic mPerks.Meijer.com. �IIIIIIIIIIIIIIIIIIIIillllllllllllllllllllllllllllllllllllllllllllllllll(111111 A013 0MO0U81-SKS Op:557 Tm:106 St:130 19:32 ,ow are we do i ng? Rate your shopping experience and you may win $1000 in Meijer gift cards! visit us at www.meijer.com/tellmeijer or call 1-800-394-7198 Secure Code: 8751-0730-9138-2160-001 Survey should be completed within'72 firs 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)) 10/05/13 Receipt $20.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash - Mayor Brainard IN SUM OF $ One Civic Square Carmel, IN 46032 $20.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1160 Receipt 43-551.00 $20.00 I hereby certify that the attached invoice(s), or 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 Mond w, October 07, 2013 Mayor Title Cost distribution ledger classification if claim paid motor vehicle highway fund