247864 07/28/15 `!q* CITY OF CARMEL, INDIANA VENDOR: 363618
;; d ONE CIVIC SQUARE TIM GRIFFIN CHECK AMOUNT: $""`""'*`58.98*
CARMEL, INDIANA 46032 C/O FIRE DEPT CHECK NUMBER: 247864
'91
CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 REIMB 58.98 OTHER EXPENSES
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1424 West Carmel Dr.
Carmel, IN 460:32-#130
(317)5738300 meijei.com
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GENERAL-
65356989184 BABY ALIVE 9.99 CT
65356989185 BABY ALIVE 9.99 CT
:13377281G2 WATERBABIE`.) 25.98 �T
2 @ 12.99
4337728103 WATERBABIES 12.99 CT
TOTAL
IN 7% Sales Tax 4.
TOTAL TAX •13
TOTAL 63.U8
PAYMENTS
NUMBER OF ITEMS 5
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t` Survey should be compl ;ted within 72 hrs
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tim Griffin
IN SUM OF $
$58.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVO100NO. ACCT#/TITLE AMOUNT Board Members
1120 120-851.00 $58.98 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
JUL 2 7 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))
FF for a Day $58.98
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