191787 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 355224 Page 1 of 1
0 ONE CIVIC SQUARE DAWN PATTYN
CARMEL, INDIANA 46032 141 SHERMAN DRIVE CHECK AMOUNT: $5.54
CARMEL IN 46032 CHECK NUMBER: 191787
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 5.54 POSTAGE
CARMEL RETAIL STORE
CARMEL, Indiana
460329998
1740350814 -0094
11/05/2010 (800)275 -8777 11 :10:54 AM
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
WESTFIELD IN 45074 $0.44
Zone -1 First -Class
Letter
0.30 oz.
Expected Delivery: Sat 11/06/10
Return Rcpt (Green $2.30
Card)
Certified $2.80
Label 70100780000196364783
Issue PVI: $5.54
Total: $5.54
Paid by:
Debit Card $5.54
Account XXXXXXXXXXXX2108
Approval 011011
Transaction 115
23903091171
Receipt 001328
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dawn Pattyn
IN SUM OF
$5.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 43- 421.00 $5.54 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
NO V -8 2010
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))
Certified Letter $5.54
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