HomeMy WebLinkAbout332423 11/21/18 1+d G�„Mf
CITY OF CARMEL, INDIANA VENDOR: 366920
.I: ® -• ONE CIVIC SQUARE LUCAS GOSSETT
CHECKAMOUNT: $********15.00*
?�; CARMEL, INDIANA 46032 C/O CPD CHECK NUMBER: 332423
+,TON�• CHECK DATE: 11/21118
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 15.00 GASOLINE
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 366920 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
LUCAS GOSSETT IN SUM OF$ CITY OF CARMEL
C/O CPD 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.
Payee
$15.00
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 42-314.00 $15.00 1 hereby certify that the attached invoice(s),or 11/1/18 0 gasoline $15.00
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
Friday, November 16,2018
8c, 01x. A.,w
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
4:18:25 PM11/1/2018
Order Number: 2389915
Circle K/Shell 2274
1360 N GREEN ST
BROWNSBURG, IN 46112-8306 —
(317) 858-7204
Register:l Steven-L-974651
Prepay Pump # 2 $15.00
Sub. Total : $15.00
'Fax: $0.00
Total : $15.00
Discount Total: $0.00
if O'YAL $15 . 00
VISA: $15.00
SHELL
1360 NORTH GREEN
BROWNSBURG IN 46112
Merch #: 57442110003
VISA
Card Num XXXX XXXX XXXX 5806
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