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253873 01/26/16
(9, CITY OF CARMEL, INDIANA VENDOR: 248970 ONE CIVIC SQUARE ANN GALLAGHER CHECKAMOUNT: S********27.00* 171 PARKVIEW COURT CHECK NUMBER: 253873 CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK DATE: 01/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 27.00 OTHER MISCELLANOUS ;;BDEC01 after tax calc ' 647 iwdgho;; BDEC01 flag set 648 TOTAL 27 . 00 649 ;;BDEC01 after tax calc 650 iwdgho;; BDEC01 flag set 651 iwdgho;; , tender key pressed 111 652 iwdgho;; keystate/motorkey: 17/0 653 APPROVED 654 -> 542432xxxxxx7967 655 iwdgho;;;;;;;; 10 0 656 *SAVE KEYS* before EMLD 657 *RESTORE* after EMLD at TDR: 658 ACCOUNT NUMBER 542432xxx-xxx79G7 `659 �S7�ISSI�-'A/�MASTERCARD • '._.-� 2 7� 0 0 �'�6�610 EXP DATE: 02/50 661 APPROVAL: 147733 SWIPED ONLINE 662 Coupon(s) Not Used: 663 400100385494 4001 D61 664 000067447000018694000048753000000000, 665 1/21/16 10 : 25 666 F1 F2GOTO F3QUIT F4FIND F5 F6TOP F7BOTT F8 F9 F10 Time=14 : 15 Current Window=l Number of Windows=l SYSTEM MESSAGE AVAILABLE 1 *SAVE KEYS* before EMLD 628 IGIIG S *RESTORE* after EMLD at TDR: 629 CASH TENDER 10 . 02 630 CHANGE 5 . 90 631 000064747000018694000046053000000000 632 Return Barcode Number: 633 897919195951527722111611516001937 634 1/21/16 10 : 22 635 (*MFRE - 65468, FRE - 311145108 *) 636 6868 SALE 8271 9951 005 637 FRM llX14/8 . 5Xll W (05440545073407320 638 886946453151 MDS 1 9 . 00 639 FRM llX14/8 . 5Xll W(05440545073407320 640 886946453151 1 MDS 1 9 . 00 641 FRM llX14/8 . 5Xll W(05440545073407320 642 886946453151 MDS 1 9 . 00 643 TvAX TSD 0 30 120155®©20 644 9 9 NONT�AXAB+LE TO�TVAL 645 G :40-0100385494-999223 646 ;;BDECOI after tax talc 647 F1 F2GOTO F3QUIT F4FIND F5 F6TOP F7BOTT F8 F9 F10 Time=14 : 15 Current Window=l Number of Windows=l SYSTEM MESSAGE AVAILABLE scribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL i invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by iom, rates per day,number of hours,rate per hour, number of units,price per unit,etc. Payee Purchase Order No. Terms Date Due ivoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 01/21/16 0 reimbursement for picture frame purchase $27.00 1110 101 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 ANN GALLAGHER 171 PARKVIEW COURT IN SUM OF$ CARMEL, IN 46032 $27.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members I 0 I 42-390.99 I $27.00 1 hereby certify that the attached invoice(s), or 1110 101 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 Friday, January 22, 2016 4/z Cost distribution ledger classification if claim paid motor vehicle highway fund