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184441 04/14/2010 =o CITY OF CARMEL, INDIANA VENDOR: 241254 Page 1 of 1 ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $37.59 CARMEL, INDIANA 46032 C/O CARMEL POLICE DEPT C10 CARMEL POLICE DE CHECK NUMBER: 184441 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343003 6.00 TRAVEL LODGING 1110 4358300 31.59 OTHER FEES LICENSES Rcpt# 359. 04, 14:03 L# 1 A# 1.6 T1.n# 13918 04/08/10 08.37 In 04/08/10 1403 Out R4 051121 MAIN 6 AO Total Fee 6.00 CAGHI PAID C 6.00- Cash Tender 6. 00 Tawe Due OAO Presa+ bed by State Board of ACCOUfUS ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Pe Cash Purchase Order No. 3 Civic Square Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/9/10 reimbursement for parking J. Barlow 6.00 Total 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 P etty Cas 3 Civic Square IN SUM OF Carmel, IN 46032 6.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached inv or 1110 430 -03 6.00 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 April 9, 2010 k j�,14,dp,� Zea, Signature Chief of police Cost distribution ledger classification if Title claim paid motor vehicle highway fund is 3 THE FRONT O THE DOCUMENT HAS A MICRO-PRINT AMOUNT BOX AND THERMOCTIROMIC. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. M OH -1 r a. m o eyGram. M oney Orders Money Orders 04 0 2 1=0.1 n -3 c: I Or CO 00 INTERNATIONAL MONEY ORDER 0 5- ED 4 8 0 1 G, 6 M M f F 1 1 Fi R Pi F R CO PAY TO THE 4 V PAY ONLY THIS AMOUNT V V 01• �CO' HE FRONT .1 CD (_0 ORDER OF:/ PAGAR A LA -P ORDEN DE: IMPORTANT 5EE BACK BEFORE CAS)qING T t P CD T H D 0 1 L I R- T Y 4 R S OWZ E:0 -4 EL 2 n ci C'E 00 0�'CJII N 1N S PURCHASER, SIGNER FOR DRAWER I COMPRADOR, FIRMA DEL LIBPADOR Cal PURCHASER. RYSrCNINC; YOU AGREE TO THE SERVICE CHARGE AND OTHER TERMS ON THE REVERSE SIDE CE RTIFICATE: RECIPIENT 2 MONEY ORDER: ADDRESS GIFT CE 2 I I 4ZT_.'6�' Payable Through ISSUER /DRAWER: 21 4 6 0,'10.! ells Fargo BanR MONEYGRAM PAYMENT SYSTEMS, INC. M —Sotith.Central, N.A. TO AUTHENTICATE PUB CIRCLE-- PARA ALITENTICAR',11CSTAFrAS E17CIRCUL0 0 In C) 0 C7 KEEP A COPY OF THIS STUD qgg k I! I. louR IEI.Roll O ANTENGA UNA COPIA OF ESTE RECIBO PARA SUS ARCHIVOS c n 7. cp —N tr4 D CJI '=S cm) rm M ro D 793 rM D D CD co CD m -'al cri M Or Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) a 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 Purchase Order No. 3 Civic Square Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/2/10 payment for money order purchased to pay for 31.59 vehicle title Total 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 Petty Cash IN SUM OF 3 Civic Square Carmel, IN 46032 31.59 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 583 31.59 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 April 8, 20 10 P 1 Signature Chief of police Cost distribution ledger classification if Title claim paid motor vehicle highway fund