189694 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 361015 Page 1 of 1
ONE CIVIC SQUARE RACHEL BOONE
a CARMEL, INDIANA 46032 1020 KESSLER BLVD E DR CHECK AMOUNT: $28.48
lNDPLS IN 46220 CHECK NUMBER: 189694
CHECK DATE: 9114/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239011 28.48 SPECIAL DEPT SUPPLIES
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946 APP# 517453 r:'`
trap ID# ,0252193390boF
ti Merchant ID 99034611, �f
APPROVED
a; °PURCHASE
AMOUNT, 1168 55
0346 ,20J Q00000020t1� 01190
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CHANGE' r'
;TOTAL SNUMBER�IOF= ITEMSy SOLD "16 x
-CASHIER SGO� LANE: #20,1 r REG# 201
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THANK
F?L -j StE'i' C M AGAIN
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VOUCHER NO. WARRANT NO.
=s ALLOWED 20
Rachel Boone
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IN SUM OF
c/o One Civic Square i
Carmel, IN 46032 I�
$28.48
ON ACCOUNT OF APPROPRIATION FOR
r
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 42- 390.11 $28.48 1 hereby certify that the attached invoice(s), or
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
I
Fr' ay, September 10, 2010
3
Director, OCS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
l
r r
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 invoices) or bill(s))
09/09/10 Candy Public Safety Day Booth $28.48
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