HomeMy WebLinkAbout257706 04/22/16 CITY OF CARMEL, INDIANA VENDOR: 361675
ONE CIVIC SQUARE JEREMY KASHMAN CHECK AMOUNT: S********15.00*
CARMEL, INDIANA 46032 18567 PILOT MILLS CT CHECK NUMBER: 257706
NOBLESVILLE IN 46062 CHECK DATE: 04/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231400 025716 15.00 GASOLINE
VOUCHER NO. WARRANT NO.
JEREMY KASHMAN ALLOWED 20
18567 PILOT MILLS CT IN SUM OF$
NOBLESVILLE, IN 46062
$15.00
ON ACCOUNT OF APPROPRIATION FOR
Engineering
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
025716 I 42-314.00 I $15.00 1 hereby certify that the attached invoice(s), or
2200 201
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
Tuesday,April 19, 2016
i r'er 4w
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
rohom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
04/06/16 025716 City pumps were down;Jeremy drove a City vehicle to INDOT and paid $15.00
2200 201 I for gas
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
e'er Amy . K
2700 "1 00
Ga,s becaua�
C4,f P LLr'P s w e-e
c1Own.
Circle K 2427
2243 N. SR 9
Greenfield IN 46140
y (317)462-6480
Term
— - ---- - - - - --- 720000104360102 - -- - -- -
Appr : 025716
T - UNLEADED
PUMP No. 6.3
Gallons 7.90i:i
PRICE/G $1 .899
I OTAL_FLEL $ .5
'SALE
Card Num : (S)
XXXXXX9291
1-1-4/86/2016 16:58:45
I agree to pay the
above Total, Amount
according to Card
Issuer Agreement.
TOTAL SALE $15.00
THANK. YOU
-- -- -- - HAVE--A N-ICE_DAY - — - - -- - -