191228 10/27/2010 VENDOR: 357766 CITY OF CARMEL, INDIANA Page 1 of 1
ONE CIVIC SQUARE SARAH HARRIS CHECK AMOUNT: $41.00
s` a� CARMEL, INDIANA 46032 11429 PEGASUS DRIVE
NOBLESVILLE IN 46060 CHECK NUMBER: 191228
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 41.00 GASOLINE
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
l 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
Sarah E:: Harris Purchase Order No.
11429 Pegasus Drive Terms
Noblesville, IN 46060 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/6/10 reimburse Officer Sarah Harris for gasoline while 41.00
attending the Critical Response Debriefing in
Greenfidld, IN
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
Sarah E. Harris IN SUM OF
11429 Pegasus Drive
Noblesville, IN 46060
41.00
ON ACCOUNT OF APPROPRIATION FOR
police gen lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 314 41.00 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
ber 18 20 1
Signature
AssiB ant Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund