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CITY OF CARMEL, INDIANA VENDOR: 369819
ONE CIVIC SQUARE JASON GILMORE CHECK AMOUNT: $*******138.00*
CARMEL, INDIANA 46032
CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 REIMB 126.00 UNIFORMS
1110 4356001 REIMB 12.00 WATER OVERPAYMENT REF
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INVOICE 27 Of,80860000000V ,QIV
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SALE AMOUNT $1261
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Jason Gilmore
IN SUM OF$
$138.00
x:
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-560.01 $12.00
I hereby certify that the attached invoice(s), or
"'
bill(s) is (are)true and correct and that the
1110 43-560.01 $126.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, ctober 30, 2015
Chief of Police
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))
10/12/15 alterations $12.00'
10/16/15 alterations $126.00
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