241356 01/22/15 CSA .
CITY OF CARMEL, INDIANA VENDOR: 241254
ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $ ...""42.56`
CARMEL, INDIANA 46032 C/O CARMEL POLICE DEPT CHECK NUMBER: 241356
=9�'fFtin Loa C/O CARMEL POLICE DE CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 365428 42.56 TRAVEL & LODGING
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))
01/10/15 365428 refreshements for meeting $42.56
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
3 Civic Square
Carmel, IN 46032
$42.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 365428 I 43-430.03 I $42.56 1 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
Thursday, January 15, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund