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Ors w/ a, - <br /> C.I-It~1C~E <br /> Market Of Choice #9 <br /> 2/22/2007 4:07:45 PM 8 84 8 21 <br /> Cashier: GEORGETT N. - ~i <br /> <br /> Bottle Deposit POP 0.90 F ~ Petty Cash Request <br /> 3 @ $0,30 <br /> ECB POLENTA 3.99 F Person requesting cash (Print) <br /> METRO ALL AMER WHT 3.89 F supervisor's approva? <br /> METRO GRK OLIVE CIABATTA 3;89 F <br /> WF PAPER PLATES 7IN 2.78 Request for Reimb cement <br /> ROLD GOLD TINY TWISTS 2.49 F (ro request advance, use next box.) <br /> HF DESIREE WAFERS 2.99 F <br /> BLUE SKY SLTZ LIME 6PK 2.79 F Date `L_~~_b1 Custodian's intiats <br /> B/F MAYO 10 OZ 1.79 F Expenditures Em to ee's signet e <br /> HANSENS KEYLIME 6PK 1.99 F ~ ~~~j~t <br /> HANSENS ORANGE MANGO 6PK 2,79 F <br /> TOFU PALACE 3.99 F <br /> TOBYS TOFU PATE 3.99 F Request for Advance of Funds <br /> VEGETABLE TRAY-52oz 11.99 F (To request reimbursement. use previous box.) <br /> FRUIT TRAYS 11.99 F Uate Custodian's intiats _ <br /> VEGETABLE TRAY 7.99 F <br /> LU LE PETIT ECOLIER HZLNU 2.50 F Amount Employee's initials _ <br /> LU LE PETIT ECOLIER MILK 2.50 F Expendit„res custodian's initials <br /> N~VAL CONDMT 1.29 F - <br /> G LLE GNGR SNAPS 2.99 F Money returned Employee's signature <br /> ALPINE RYE S~DGH 3.79 F Amount due <br /> COLD DELI EA H 29.99 F to emp?oyee <br /> Ve~r and Item Purchased <br /> SUBTOTAL 113.31 <br /> TOTAL 113.31 ~ c,Q G'C~ t <br /> CREDICHANGE 110,00 t~ <br /> You Saved $2.78 Account Codes <br /> Item Count 21 G~~ ~_3°`~ <br /> Thanks ~ ! ~ _ _ Z - 32' ~ _ $ <br /> C.U.S.T,O ~ • •P• - - ~ <br /> , AL. S <br /> rket f of #9 <br /> 2858 Willamette St <br /> Payment from Credit Account <br /> Visa <br /> Account No.: ~*****~*~*~*1485S <br /> Exp. Date: Auth No.: 000128 <br /> Sequence 0000000021 <br /> Date: 2/22/2007 4:10:03 PM 8 21 <br /> Cashier: 84 GEORGETT N. <br /> Purchase Amount: 113.31 <br /> APPROVED <br /> APPROVED <br /> <br />