185739 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
ONE CIVIC SQUARE ANN GALLAGHER
CARMEL, INDIANA 46032 171 PARKVIEW COURT CHECK AMOUNT: $32.43
CARMEL IN 46032
CHECK NUMBER: 185739
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 32.43 OTHER EXPENSES
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at396 CASTLETON,, IN
6110 EAST 86TH STREET
CASTLETON, IN 46250
MEMBER #11177778.1311 9H
1 427453 CHOC MINIS 14.49
E 17975 *KS WATER 2.99
E 17975 *KS WATER 2.99
E 17975 *KS WATER 2.99
F 17975 *KS WATER 2.99
E 17975 *KS WATER 2.99
E 17975 *KS WATER** 2.99
TOTAL 911
VF 32.43
SWIPED
05/19/10 10:48 PIN USED
Seg#: 000012 App '017273
EFT DEBIT Reor; AA
Tran ID 013925959000
Merchant ID 99034611
APPROVED PURCHASE
AMOUNT: $32.43
0346 010 0000000077 0019
CHANGE .00
TOTAL NUMBER OF ITEMS SOLD 7
CASHIER: MARK L REG# 10
50TAV�,ti'l[R; 10 :95 0346 10 0019 77
THANK YOU!
F LEASE COME AGAIN!
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
Ann Gallagher Purchase Order No.
171 ParMew Court Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5119/10 reimburse Ann Gallagher for water for Teen Academy 32.43
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.
r. ALLOWED 20
A _Gallagher IN SUM OF
171 Court
Car-me
32.43
ON ACCOUNT OF APPROPRIATION FOR
police gift fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
852 852 32.43 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
20 20 10
F
Signature
Assistant Chief of Poli
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund