246535 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 363532
CHECK AMOUNT: $**""**""71.93*
' ONE CIVIC SQUARE DENISE SNYDER
CARMEL, INDIANA 46032 CHECK NUMBER: 246535
CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 71.93 OTHER EXPENSES
I, Denise Snyder, hereby certify that I paid $10.61 on my personal credit card to CVS on Friday,
June 5th for the purchase of prints from a thumbdrive for Sally LaFollette's retirement ceremony.
The $10.61 does include sales tax, so for reimbursement purposes please deduct$.70 for sales
tax. I purchased 31 4x6 prints at .32 each for a total of$9.92, with the sales tax, it totaled $10.61.
1 have provided proof of payment from my credit card statement.
Respectfully submitted,
Denise Snyder
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U.S.Bank national Association[us) https://onlinebanking.usbank.com/USB/af(5t2xVZbjMlc7ef\VzvDXY)/ACCOLintDasliboard/Index/I/CCD#
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Denise Snyder �
IN SUM OF$
$71.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 120-851.00 $4.31 1 hereby certify that the attached invoice(s), or
1120 120-851.00 $57.70 bill(s) is (are)true and correct and that the
1120 120-851.00 $9.92 materials or services itemized thereon for
which charge is made were ordered and
received except jUN 15 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
Lafollette Retirement $4.31
Lafollette Retirement $57.70
Lafollette Retirement $9.92
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