192065 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 361765 Page 1 of 1
ONE CIVIC SQUARE ANNA FLAMING CHECK AMOUNT: $12.00
CARMEL, INDIANA 46032
CHECK NUMBER: 192065
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 12.00 TRAVEL LODGING
MERCHANTS S�
GARAGE
RECEIPT
ENTRY TIME:
11/9. 31/10 08:40
EXIT TIME_:
11/18/10 11:52
PARK -DUR.: HRS :MIN
0-3:
MQUNT
\�b
12.00
K �0 M
TH YOU FOR YOUR
VISIT
Prescribed Ley 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
Anna G. Flaming Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
ll 18 10 reimburse Officer Anna Flaming for parking 12.00
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
Jana G. Flaming IN SUM OF
12.00
ON ACCOUNT OF APPROPRIATION FOR
po general fund
Board Members
PO# k INVOICE NO. ACCT I`ITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 430 -03 12.00 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
]November j 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund