191793 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 241254 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $21.98
CARMEL, INDIANA 46032 CIO CARMEL POLICE DEPT
CIO CARMEL POLICE DE CHECK NUMBER: 191793
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4351000 21.98 AUTO REPAIR MAINTEN
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
Petty Cash Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 113/10 Lightbulb for T.F. Vehicle 21-98
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.
t
ALLOWED 20
t Petty Cash IN SUM OF
21.,98
ON ACCOUNT OF APPROPRIATION FOR
Project 2010 -911 Task 2010 -2
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
911 510-00 21.98 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
14/3/ 20 10
Signature
Major
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund