248445 08/12/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350462
ONE CIVIC SQUARE MARSH CHECK AMOUNT: $"'"""'"56 99'CARMEL, INDIANA 46032 2140 E 116TH ST CHECK NUMBER: 248445
CARMEL IN 46032 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355100 FIRE 56.99 PROMOTIONAL FUNDS
CHARGE TO THE ACCOUNT OF DATE SOLDBY CASH C.O.D. CHARGE ONACCT, MDSE.RET PAIDOUT
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� STOMER SIGNATURE
Trans. Date Description Debits Credits Balance
07/24/2015 Purchase#271001 56.99 56.99
Current 0 - 30 Over 30 Over 60
0.00 56.99 0.00 0.00
Total Due: 56.99
Thank you for your Business
prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Nn 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))
$56.99
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
$56.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-551.00 $56.99 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
AUG 10 2095
Q
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund