193098 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
ONE CIVIC SQUARE ANN GALLAGHER
CHECK AMOUNT: $9.97
CARMEL, INDIANA 46032 171 PARKVIEW COURT
CARMEL IN 46032 CHECK NUMBER: 193098
CHECK DATE: 12/2212010
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 9.97 OTHER MISCELLANOUS
1 0813T
2003 E. Greyhound Pass
Carmel IN 46033
317) 818 -9217
HOB -LOB #182
11 :31AN Dec 17/10
01 -0001 004 LYNNAB
#06307
SEWING T$2.99
FABRIC T33..00
2 C $1.99
SEWING T$3.98
TAX EXNP
T OTAL 39.97
CASH
CHANGE $10.03
THANK YOU
PLEASE COME AGAIN
RETURN POLICY ON BACK OF RECEIPT
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purchase accompanied by original sales receipt.
IR required on all refunds.
No cash refund without original sales receipt.
Exchanges made without original sales receipt will
be based on lowest selling price within last 30 days.
There is a 10- calendar day waiting period for
purchases made by check.
See store for additional details.
HOBBV
LOBBY
RETURN POLICY
Any return must be made within 60 days of
purchase accompanied by original sales receipt.
LR required on all refunds.
**Po cash refund without original sales receipt.
Exchanges made without original sales receipt will
be based�on= lowest selling price within last 30 days,
There is a 10- calendar day waiting period for
purchases made by check.
See store for additional details.
HUMB
I Aftn"Ilff
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ann Gallagher
IN SUM OF
171 Parkview Court
Carmel, IN 46032
$9.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept- INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1110 42- 390.99 $9. 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
Friday, December 17, 2010
Chief of Police
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))
12/17/10 reimburse Ann Gallagher for fabric for gun case $9.97
1 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