HomeMy WebLinkAbout182259 02/17/2010 o \y`
CITY OF CARMEL, INDIANA VENDOR: T357624 Page 1 of 1
ONE CIVIC SQUARE CHRISTINE BARTON- HOLMES
CARMEL, INDIANA 46032 CHECK AMOUNT: $25.00
202 FENSTER DRIVE
i:o_du INDIANAPOLIS IN 46234 CHECK NUMBER: 182259
CHECK DATE: 2/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4231400 25.00 GASOLINE
1
c
WELCOME
TO
CRYSTAL FLASH
1D18570045 -991
CRYSTAL FLASH #67
545 S RANGELINE RD
CARMEL IN
DATE 9.2/94/18
TIME 5:09 PM
AUTH# 924529
ACCOUNT NUMBER
XXXX XXXX XXXX
HOLM ES /CHRISTINE B
PUMP PRODUCT PPG
97 UNLE $2.659
GALLONS TOTAL
9.493 $25.99
THANK YOU
HAVE A NICE DAY
VOUCHER NO. WARRANT NO.
Christine Barton Holmes ALLOWED 20
.A, IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$25.00
i
ON ACCOUNT OF APPROPRIATION FOR j
r
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1192 42- 314.00 $25.00 1 hereby certify that the attached invoice(s), or
1
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
Fr)day, bruary 12, 2010
Director, DCUS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/04/10 Gas city vehicle $25.00
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