319621 12/12/2017 r[Aq-
a`�' CITY OF CARMEL, INDIANA VENDOR: T351497
® it ONE CIVIC SQUARE GEORGE DAVIS CHECK AMOUNT: $********19.60*
?� CARMEL, INDIANA 46032 3981 MUCH MARCLE DR CHECK NUMBER: 319621
ror.�o. ZIONSVILLE IN 46077 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 19.60 POSTAGE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# T357497 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GEORGE DAVIS IN SUM OF$ CITY OF CARMEL
3981 MUCH MARCLE DR 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.
ZIONSVILLE, IN 46077
Payee
$19.60
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 43-421.00 $19.60 1 hereby certify that the attached invoice(s),or 12/11/17 0 stamp books $19.60
1110 101 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
Tuesday, December 12,2017
ac,,? 10w
Jim Barlow
Chief
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
Cost distribution ledger classification if claim paid motor vehicle highway fund.. Clerk-Treasurer
_..............._.......................:...............:......................_...---...,..-::.
•1 i
e r V
i
Sir
Pacors
i,
Official Grocery Store of the Indiana Pacers
1217 S. RANGELINE RD.
317-846-4818
Your cashier was KAT
MR BK OF' STAMPS NP, 9.80
MR BK OF STAMPS NP 9.80--
TAX
.80-TAX 0.00
**** BALANCE 19.60
CARMEL 'IN 46032
Visa Credit Purchase
************3301 - C
REF#: 05093C TOTAL: 19.60
AID: AOOOOO00031010
TC: 1741684726AA957D
VISA 19.60
CHANGE 0.00
BK OF STAMPS
*** 219.80- 19.60
TOTAL NUMBER OF ITEMS SOLD = 0
12/06/17 11:45am 959 30 40 402
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