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189948 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1 ONE CIVIC SQUARE PETTY CASH 0 CHECK AMOUNT: $15.00 CARMEL, INDIANA 46032 C/0 MAYOR'S OFFICE 'c, row C/0 MAYOR'S OFFICE CHECK NUMBER: 189948 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4351100 15.00 CAR CLEANING Pa sl cam, Mike's Carmel 1250 Rangeline Road 317- 571 -1929 B29PTT1 09/01/2010, 09:47 AM, Shift 1 Empl 32462, Sale 4 42049968643 WORKS 15.00 Subtotal 15.00 Sales Tax 0.00 Total 15.00 Cash 15.00 4 3 Protect your paint, ask for The Worksl mikescarwash.com VOUC HER NO. WARRANT NO. ALLOWED 20 Petty Cash Steve Engelking IN SUM OF One Civic Square Carmel, IN 46032 $15.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1160 Recepit 43- 511.00 $15.00 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 Monday, September 13, 2010 Mayor 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)) 09/01/10 Recepit $15.00 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