181357 01/13/2010 �,.,5 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
A,,.* CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK AMOUNT: $44.01
_,74. e C/O MAYOR'S OFFICE CHECK NUMBER: 181357
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4231400 29.01 GASOLINE
1160 4351100 15.00 CAR CLEANING
4/1410-7A 7-
2 1 ed..-
�i
Mike's Ca
1250 Rangeline Road
317 571 -1929
B29PTT2
01/06/2010, 09:46 AM,' Shift 1
Empl 966, Sa1e'4 42318927875
WORKS 15.00
I'
Subtot 7a1 15.00
Sales' Tax 0.00
Total 15.00
Cash 15.00
2 'y 4
Protect your paint, ask
for The Works!
rnikesdarwa corn
li. A
7` 0730 0 U
ti
1a
CRYSTAL FLASH #67
545 S. RANGELINE RD.
CARMEL4 IN 46032
317-846-2828
1D18570045 -001 CRYSTAL FLASHU67
545 S RANGELINE RD CARMEL IN
Descr. qty ,amount
:CUSTOMER COPY>
E.85 CA 810 12.958G 29.01
2.239/ G
Sub Total 29.01
T,ax 0.00
TOTAL 2
CREDIT 29.01
MANUAL mom
CARD TYPE: FUELMAN PLUS
ACCT NUMBER: XXXXXX XXXXX XX1525
TRANS TYPE: SALE
ODOMETER: 33000
APPROVAL: 266036 INVOICE: 584666
APPROUED 266.206
WE APPRECIATE YOUR
BUSINESS
REGU 0003 CSN# 006 DRD 01 TRANS 35588
01/04/10 09:55:56 ST4 67
(/a3 /yoc)
Prescribed by State Board of Accounts City Form No. 201 (Rev, 1995)
ACCOUNTS PAYABLE VOUCHER
1/11/10 CITY OF CARMEL
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
Petty cash Mayor Purchase Order No.
One Civic Sq "Terms
"Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
:1/4/10 Receipt Gas for Mayor's vehicle $29.01
1/6/10 Receipt Car wash for Mayor's vechicle $15.00
Total $44.01
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
1/11/10
ALLOWED 20
Petty cash Mayors IN SUM OF
One Civic Si
Carmel IN 46032
44.01
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4231400
Gasoline
Board Members
p° T I NVOICE NO. AC f i /TITLE AMOUNT 1 hereby certify that the attached invoice(s), or
Jl0
Receipt 4°231400 $15.00 bill(s) is (are) true and correct and that the
Receipt 4231400 $29.01 materials or services itemized thereon for
which charge is made were ordered and
received except
20 /v
Ignatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund