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334453 01/18/19 CITY OF CARMEL, INDIANA VENDOR: T357497 CHECK MOUNT: $********10.00* (9, ONE CIVIC SQUARE GEORGE DAVISCARMEL, INDIANA 46032 Z81 MUC W RCLE R CHECK NUMBER: 334453 CHECK ATE: 01/18119 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 10.00 POSTAGE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# T357497 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GEORGE DAVIS IN SUM OF$ 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 $10.00 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 43-421.00 $10.00 1 hereby certify that the attached invoice(s),or 1/11/19 0 postage stamps $10.00 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 Monday,January 14,2019 &." 1E-:N.%'AWrw 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 G�©r�0, a..v I G��,�. l��n ro er OMM Grocery Store of the Indiana Pacers 10679 N Michigan RD 317-733-2560 ' Your cashier was Beverly MR TKA%F STAMPS NP 10.00 #* BALANCE 10.00 CHANGE 10.00 BK OF STAMPS *** 1@10.00 10.00 TOTAL NUMBER OF ITEMS SOLD = 0 01/10/19 12:57pm 332 30 30 447 THANK YOU FOR SHOPPING KROGER Now Hiring - Apply Today! jobs.kroger.com www.krocier.com