246888 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 00350462
d ONE CIVIC SQUARE MARSH CHECK AMOUNT: $**......79.39*
CARMEL, INDIANA 46032 2140 E 116TH ST CHECK NUMBER: 246888
CARMEL IN 46032 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355100 161752 79.39 PROMOTIONAL FUNDS
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TOTAL
CUSTOMER SIGNATURE
Marsh Supermarkets #14 STATEMENT
2140 East 116th St
Carmel, IN 46032
Phone: 317-575-3650
Statement Date Customer ID
06/15/2015 402
Carmel Fire Dept,
Denise Snyder
2 Civiv Square
Carmel, IN 46032
Amount
Enclosed
PLEASE DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT
Trans. Date Description Debits Credits Balance
06/05/2015 Purchase # 161752 79.39 79.39
c ,
Current 0 -30 Over 30 Over 60
0.00 79.39 0.00 0.00
Total Due: 79.39
Thank you for your Business
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))
161752 $79.39
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
Marsh
IN SUM OF $
2140 E. 116th Street
Carmel, IN 46032
$79.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 161752 43-551.00 $7939 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 jUN 2 9 2M
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund