HomeMy WebLinkAbout226370 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 367757 Page 1 of 1
ONE CIVIC SQUARE DEBBIE KLINEMAN
CARMEL, INDIANA 46032 2842 HAZEL FOSTER DRIVE CHECK AMOUNT: $348.95
CARMEL IN 46033 CHECK NUMBER: 226370
CHECK DATE: 11/1912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 348 . 95 OTHER EXPENSES
#397 NUJ INDIANAPOLIS C Y
9010 MICHIGAN ROAD
INDIANAPOLIS, 94608 � . r4 E753791 .
E 599203 HAYS .29 le S
E 599203 HAYS 4.29 e.s CA ��^' ' b ) P
E 599203 HAYS 4.29 4 s6.-I e S
E 599203 HAYS 4.29 C oC o a R-
E 599203 HAYS 4.29
E 599203 HAYS 4.29
E 599203 HAYS 4.29 l�
E 599203 HAYS 4.29 �xj
�b
E 599203 HAYS 4.29 '
E 599203 HAYS 4.29
E 45644 JONAGOLD 6.49 � 1 e rn a
E 45644 JONAGOLD 6.49
E 45644 JONAGOLD 6.49
E 794881 HOT COCOA 9.99
E 794881 HOT COCOA 9.99
E 794881 HOT COCOA 9.99
E 794881 HOT COCOA 9.99
E 794881 HOT COCOA 9.99
E 794881 HOT COCOA 9.99
E 794881 HOT COCO 9.99
1034 EZ :WRAP 7.89 A
783837 10OZ HOT CUP 11 .99 A
783837 100Z HOT CUP 11 .99 A
E 60809 PUMPKIN IE 5.99
E 60809 PUMPKIN PIE 5.99
E 60809 PUMPKIN PIE 5.99
E 60809 PUMPKI PIE 5.99
E 60809 PUMPKI PIE 5.99
E 60809 PUMPKI PIE 5.99
E 60809 PUMPKI PIE 5.99
E 60809 PUMPKI PIE 5.99
E 60809 PUMPKI PIE 5.99
E 60809 PUMPK,; PIE 5.99
E 60809 PUMPK PIE 5.99
E 60809 PUMPKI PIE 5.99
E 60809 PUMPKI PIE 5.99
E 60809 PUMPKI - PIE 5.99
E 60809 PUMPKI ' PIE 5.99
E 60809 PUMPKIN PIE 5.99
E 60809 PUMPKIN IE 5.99
E 60809 PUMPKIN .IE 5.99
E 60809 PUMPKIN nE 5.99
E 60809 PUMPKIN FOIE 5.99
E 10134 **KS WATER** 3.49
E 10134 **KS WATERxx 3.49
E 10134 **KS WATER** 3.49
E 10134 **KS WATER** 3.49
E 10134 **KS WATER** 3.49 ` i'' .00
SUBTOTAL 301 .42 TOTAL NUMtiLm ur 1.;�,;S SOLD = 48
A 7.0% TAX 2.23 Executive Members earn a 2% Reward
VF
TOTAL _ 303.65� arinr.rally UP tc $750 or aPPrr, :,,orely
$6.02 on this Purch,,, ley also
_ yet cdde>d benefil� h larger discounts
on Cosicr, Services like Travel . See
XXXXXXXXXXX SWIPED Membership For exclusions and details.
10/11013 17:ctt
Seq#: 000395 Ape#: 553548 CASHIER: Eric; A REG# 8
American Express Resp: AA 110YA 17WfIK' 17:47 0347 08 0243 14
Tran ID#: 328440078000
Merchant ID 99034711 Thank You!
F VASE 3in!
55
C 'J014 0243 � -
Walmart
Save money. Live better. Cy C,
( 317 ) 844 - 0096 �e S�
MANAGER 20011 MARCI : 1� S . R ��
CARMEL IN 46033 V l
ST# 1601 OP# 00006788 TE# 07 TR# 01941 L 1•�
BBONES CS 007116966885
50 AT 1 FOR 0.97 48.50 X
SUBTOTAL 48.50
BBONES CS 007116966885 0.97 X 1 N
** VOIDED ENTRY ** C
BBONES CS 007116966885 0.97-X
SUBTOTAL 48.50
BBONES C5 007116966885 0.97 X � D
** VOIDED ENTRY ** a. l
BBONES CS 007116966885 0.97-X I h Q m Q r
SUBTOTAL 48.50
** VOIDED ENTRY **
BBONES CS 007116966885 0.97-X
SUBTOTAL 47.53
TAX 1 7.000 X 3.33
- TOTAL 50.86
:ND 50.86
ACCOUNT # W- **** **#*
APPROVAL # 574577
REF # 328500005848
TERMINAL# MX770690
10/11/13 22:59:08
CHANGE DUE 0.00
EFT DEBIT PAY FROM PRIMARY
50.86 TOTAL PURCHASE
ACCOUNT # **** **** **** S
REF # 328500799929
PAYMENT DECLINED - REASON 51
TERMINAL # MX770690
10/11/13 22:58:22
# ITEMS SOLD 49
TC# 5866 5801 9535 7430 2534
I III III(III III I III II III I II IIII II I II I III III IIIII IIII IIIII II
Layaway is back. Get started tadau
Sept. 13 - Dec. 13
10/11/13 22:59:08
***CUSTOMER COPY***
VOUCHER NO. WARRANT NO.
ALLOWED 20
Debbie Klineman
IN SUM OF $
2842 Hazel Foster Drive
Carmel, IN 46033
$348.95
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
854 Receipt $47.53 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
854 Receipt $301.42
materials or services itemized thereon for
Carly-.0 MONA"S q')'k4' which charge is made were ordered and
COUInC�` received except
Monday, November 18, 2013
Director, Con0nunity Relations/Economic Development
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))
10/11/13 Receipt $47.53
10/11/13 Receipt $301.42
1 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