324401 04/25/18 1�j�..44gyfi
�; CITY OF CARMEL, INDIANA VENDOR: 079900
j; ONE CIVIC SQUARE GARY DUFEK CHECK AMOUNT: $********52.48*
_� CARMEL, INDIANA 46032 12610 OVERTURE DRIVE CHECK NUMBER: 324401
vM__ ,,,off CARMEL IN 46033 CHECK DATE: 04/25/18
f,pN G
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239012 52.48 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 079900 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GARY DUFEK IN SUM OF$ 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
$52.48
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 42-390.12 $32.52 1 hereby certify that the attached invoice(s),or 4/23/18 0 $32.52
1120 101 1120 101
0 42-390.12 $19.96 bill(s)is(are)true and correct and that the 4/23/18 0 $19.96
1120 1 1 101 1 materials or services itemized thereon for 1120 1 101
which charge is made were ordered and
received except
Monday,April 23,2018
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
p�."rG H&'6 UOE6
4/23/2018 7;25;43 AM
Order Number: 217.5708
Circle K 2368
545 S RANGE LINE RD
CARMEL, IN 46032-2140
(317) 574-1021
Register;l *, Don-H-864792
4 LG BAG ICE 20 22 25 LB $19.96
Sub. Total; $19.96
Tax; $0.00
Total ; $19.96
Discount Total ; $0.00
TOTAL $19 . 96
Debit; $19.96
Change $0 . 00
Debit
Card Num ; XXXXXXXXXXXX9411
CustomerName;
Approval ; 019232
Invoice #; 489005
'IN USED
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Your c|iockou/ was provided by Tk8ATHA
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940|1 08G 6ANN1 8 8.58 F
13.88 li) Cv 1 |h / .69
8J(46:3341J ICE MOUNTAIN
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921481461G CL[MENTINES
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TOTAL TAX .00
TOTAL 32.52
PAYMENT�
Pr|ma/v Aonount Debi t
ATM/NEB'('[ CAN T[N0EA 32.52
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NUMBER OF ITEMS 7
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