HomeMy WebLinkAbout231817 04/23/14i
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"<<- CITY OF CARMEL, INDIANA VENDOR: 00352791
ONE CIVIC SQUARE JASON OGLE CHECK AMOUNT: $ ..."*'38.15"
f:, � CARMEL, INDIANA 46032 3860 MADELINE LANE CHECK NUMBER: 231817
+M�.,.__.o, CARMEL IN 46033 CHECK DATE: 04/23/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 991125 38.15 GASOLINE
Circle K .�'
SALES RECEIPT,
57
SHELL 442 110281
9518 EAST 126TH STRE
FISHERS
IN 46838
DATE84/18/14 18 : 18AM
INVOICE# 991125
RUTH# 07399S
ACCOUNT NUMBER
XXXX fCxxx xxxx
OGLE/JASON
PUPPP PRODUCT $/G
82 UNLD $3 . 779
'GALLONS FUEL TOTAL
18 . 896 * 38 . 15
TOTAL SALE s 38 . 15,
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1 -
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))
04/10/14 991125 Gas Reimbursement $38.15
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
Jason W. Ogle
IN SUM OF $
3860 Madeline Lane
Carmel, IN 46033
$38.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 991125 42-314.00 $38.15
I hereby certify that the attached invoice(s), or
I I
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
Wednesda , April 16, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund