244395 04/21/15 CITY OF CARMEL, INDIANA VENDOR: 00351526
ONE CIVIC SQUARE CARMEL CLAY SCHOOLS CHECK AMOUNT: $*******461.72*
s =a CARMEL, INDIANA 46032 5201 E MAIN ST CHECK NUMBER: 244395
ATTN:ACCT RECEIVABLE CHECK DATE: 04/21/15
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4231400 2015-041 461.72 GASOLINE—COMM SERVICE
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Carmel Clay Schools
5201 E. Main Street Invoice 2015-041
Carmel, Indiana 46033 Date 4/1/2015
317-844-9961
Attn: Sue Ardaiolo
City of Carmel
Account#7- DOCS Dept.
Lisa Stewart
April 2015
Quantity Cost Each Total Cost
Fuel-T1 1 $183.99
Fuel-T2 1 $272.73
Fuel Card @$5.00 ea 1 $5.00 $5.00
TOTAL $461.72
Please make checks Payable to:
Carmel Clay Schools
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Accw
A ccount name N D 0 C S Lisa Stewart
Account address a I Civic Square Carmel
Ti.ife Am AM DAw W1 1j1cn,+.r K��ylw�3nl Typ hop ti t.'.-, i' 1_ k;ciol-t
�.Y - '311., � 001`4.71
li:41j. 02� 20 1.5 15 NM W ()'337 C .1.6-�" 01--tmI 0, 1. N.'P3 $ 1.
MR Q 2015 1035 j'v,tiG1 C' 7 10o.5 OJf72 C 'j.
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('G, if 111..5 111 0:1.1 NM W M 00-5 0 F5 1.Of) 0.3 0 1 00012.-.5-"!0 $ 1.7 OX,
1-k 66'� Z.,i'J,5 11. GEE' (.* 155 CK,7 211.21? 0560 (, T? 6-Ho O,^, 010101A.0 $ I.rt3 ("
MINP. 16� 2015 12 0--A COIG Cg-.;7 21,2q7i 0560 CM2156, WMANq Khroo 1 03 M-M 1 a A-.-01 OCK)C2,�C' $ 1.830 T, 0014.64
MR 169 an 024 M W M 0% 0.*.'-',* 0,11:-(.111,112joll-effi OM2,AW $ 1.8,3 0 059:66
M 1, ZA5 M31 OM OT IM5 OV2 HMO 03 Olorlic-adal C(,,,014�100 $ 1.c",-A)
5 'Y77 $ I.E'
jN'. J., OM .." 7 1 0--')' (0"? 0-55d "? 07; !E-CdA /'() $
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25, 205 C6",<14 001'.3 Cx.-V 100.", (.W47',-*.-. 0 1.- 1 �j $ 1.02 0O."2'77.6,6,
N"RI. 2015 11:02 CON M07, 1012-1,], 0-3,87 05F5-?(-1---2 00)!.2.,--,!-;0 i. 0
Usage Total
Product 01 - unleaded 146.700 Ga 11 on $ 2 7 2.7
$
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Clay Schools
l IN SUM OF$
5201 E. 131st Street
Carmel, IN 46033
$461.72
s
i
ON ACCOUNT OF APPROPRIATION FOR f
I�
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT '
Board Members
1192 j 2015-041 _ i I hereby certify that the attached invoice(s), or
I 42314.00 I $461.72 �
bill(s) is(are)true and correct and that the
l
4 materials or services itemized thereon for
j
which charge is made were ordered and
,I received except
I�
l Friday, April 17, 2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
y+i I
I�
i
i
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))
04/01/15 2015-041 ! $461.72
li
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