321021 01/25/18 1y e.Cggf
CITY OF CARMEL, INDIANA VENDOR: 079900
d c'. ONE CIVIC SQUARE GARY DUFEK CHECK AMOUNT: $********39.83*
CARMEL, INDIANA 46032 12610 OVERTURE DRIVE CHECK NUMBER: 321021
9j_roN.Lo CARMEL IN 46033 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 39.83 GASOLINE
UE'
t r�C
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 079900 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GARY DUFEK IN SUM OF$ CITY OF CARMEL
12610 OVERTURE DRIVE 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.
CARMEL, IN 46033
Payee
$39.83
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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 42-314.00 $39.83 1 hereby certify that the attached invoice(s),or 1/22/18 0 Michigan-Ohio-Indiana Consortium $39.83
1120 101 1120 101 Meeting-Canton,MI
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,January 22,2018
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
A'V0 30IN V 3AVH
n-OA XNVH1
LSLZ6ET6EEO :Ue;S
LV9VXXXXXXXXXXXX
USIA
LZ6CSS8 :0I 31IS
ZTLOZ000 :# aoejl
LSLZ6ET6EEO :UPIS
50000 •OI Wual
000 •apo0 dsaa
OVOLMS :Jed
98T088 •# U;nV
Lb9bXXXXXXXXXXXXX
jun000V fSJPWTJd
W o_aJ_}_u-a-W A_e.d-
MIG USIA
9/OOT '0 03AVS noA
1I930
E8 '6E$ AM
EVE 31VS 13f13
655'Z :9/30IU
995'Si :SN011V9
3f1i9 :1Of100ad
313S :13A31 33IAM
SO #dwnd
Z96TS06 ME
bS:TT 8T/LT/TO 31VO
88T8V
IW uo;ue0
Jq;uaO uojUPD SZ
9
LZ6E
3WO313M