190415 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 360373 Page 1 of 1
ONE CIVIC SQUARE REBECCA PACE
0 CHECK AMOUNT: $11.43
CARMEL, INDIANA 46032 5903 LOST OAKS DRIVE
CARMEL IN 46033 CHECK NUMBER: 190415
CHECK DATE: 9/29/2010
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 11.43 OTHER EXPENSES
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MANAGER MIKE ELMORE
317 773 5212
ST# 0923 OP# 00000025 TE# 04 TR# 00991
CHOC MILK 004190005767 F 4.15 0
GV CHOC 6PK 007874214159 F 3.64 0
GV CHOC 6PK 007874214159 F 3.64 0
SUBTOTAL 11.43
TAL 11.43
11.43
ACCOUNT 45W
APPROVAL 500923
CHANGE DUE 0.00
ITEMS SOLD 3
TC# 3135 3060 5119 1957 7130
i IIIIIII VIII III I I I II I II I VIII II III II I IIII I II II IIII III) I II I I III II IIII
IT S GAME TIME AT WALMART
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09/17/10 19:09:55
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Atc&tc'
VOUCHER NO. WARRANT NO.
ALLOWED 20
Becky, .Pace
IN SUM OF
$11.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept- INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 $11.43 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
SEP 1 2010
n
Fire Chief
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))
$11.43
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
2Q
Clerk- Treasurer