181721 01/25/2010 CITY OF CARMEL, INDIANA VENDOR: 241762 Page 1 of 1
o ONE CIVIC SQUARE PETTY CASH
CHECK AMOUNT: $9.19
k, CARMEL, INDIANA 46032 LAW ENF AID FUND
LAW ENF AID FUND CHECK NUMBER: 181721
CHECK DATE: 1125/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4239099 9.19 OTHER MISCELLANOUS
ex
Urder; 2 4 1 2 3 5 01/08/20 0
09.:.5.OP
Cash
Change Due 10.17
au
au Your name, address and the original sales receipt are
required for all refunds. Sales and returns are
saga subiect to the terns and conditions identified
TO on the back.
Shop online 24/7 at
uuu.radioshack.com
TELL US ABOUT YOUR
SHOPPING EXPERIENCE!
Visit
www_tellradioshack_com
*within 5 days of purchase*
to complete a short
survey and receive a
coupon good for $10 off
your next purchase of
$40 or more* from
RadioShack.
*Some exclusions apply.
1
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
g 0- Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/I�IlG I CA U /fit„. j 1? Cej ✓tom i
Total 9 11
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.
ALLOWED 20
4/
IN SUM OF
M C e_z„.1
9
ON ACCOUNT OF APPROPRIATION FOR
4 C,/ vZ0(o- S/f /colt cr.70i0
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT
I hereby certify that the attached invoice(s), or
97/ =6 70 9 9, 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
///5' 20 0
i
Signature
4-3" o
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund