241884 02/09/15 r 4�q
CITY OF CARMEL, INDIANA VENDOR: 042595
® °�l ONE CIVIC SQUARE CARMEL CLAY SCHOOLS-FUEL PAYMEKWECK AMOUNT: $*******175.82*
CARMEL, INDIANA 46032 EDUCATION SERVICE CENTER CHECK NUMBER: 241884
y�TpN '` 5201 E MAIN ST CHECK DATE: 02/09/15
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4231400 2015-012 175.82 GASOLINE
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Carmel Clay Schools •
5201 E. Main Street Invoice 2015-012
Carmel, Indiana 46033 Date 1/20/2015
317-844-9961
Attn: Sue Ardaiolo
City of Carmel
Account#7- DOCS Dept.
Lisa Stewart
January 2015
'5w!
Quantity Cost Each Total Cost
Fuel-T1 1 $175.82
Fuel-T2 1
Fuel Card @$5.00 ea 0 $5.00
TOTAL $175.82
Please make checks Payable to:
_ Carmel Clay Schools
VOUCHER NO. WARRANT NOS
ALLOWED 20
Carmel Clay Schools
IN SUM OF $
J
5201 E. 131st Street
r
Carmel, IN 46033
$175.82
ON ACCOUNT OF APPROPRIATION FOR
i
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1192 I 2015-012 I 42-314.00 I $175.82 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
Thursday, February 05, 2015
i
Tit
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
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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
I Date Number (or note attached invoice(s) or bill(s))
I
01/20/15 2015-012 $175.82
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I
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