249907 09/23/15 0F, . CITY OF CARMEL, INDIANA VENDOR: 294380
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ONE CIVIC SQUARE JEFFREY STEELE CHECK AMOUNT: $**......50.00"
:._ r° CARMEL, INDIANA 46032 1509 NORRISTON DR CHECK NUMBER: 249907
<,,.ioN INDIANAPOLIS IN 46280 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 50.00 OTHER CONT SERVICES
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Account Number: Show Account Number Open Date: 09/15/1997
Account Number: ' Account Status: Active
Statement Name(s) JEFFREY A STEELE Available Balance: $
Statement Name(s): LISA A STEELE As Of: September 15,2015 07:55 AM CDT
Interest Rate:
Pending Transactions
The activity below shows pending transactions,scheduled transfers and up to 15 days of scheduled bill payments
Date Description Category Status Debit(-) Credit
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CARMEL VALERO CARMEL IN _x
09/15/2015 Card Debit 0000000000 r $
Card Debit 0000000000 r
- - -- - - --- - ---- -'I
Posted transactions between 07/17/2015 and 09/15/2015
Date Description Category Status Debit(-) Credit(+) Balance 11
09/14/2015 POS PURCHASE W PIN SHELL SERVICE S CARMEL Uncategorized ✓ $
Card Debit 4604010097
,I 1
09/14/2015 POS PURCHASE KIM S ALTERATIONS CARMEL Uncategorized ✓ $50.00 $ ,
Date:
Request f®r Quote/Involce Definiti®n
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Ordered by and Date Ordered
DPA Signaturek�- DPA Signature
Rev.03/15/11
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))
Alterations to Uniform $50.00
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
Jeff Steele
IN SUM OF $
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-509.00 $50.00 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
l3' .
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund