193344 12/29/2010 CITY OF CARMEL, INDIANA VENDOR: 080501 Page 1 of 1
ONE CIVIC SQUARE CINDY SHEEKS CHECK AMOUNT: $19.99
CARMEL, INDIANA 46032 13791 LAREDO DRIVE
CARMEI IN 46032 CHECK NUMBER: 193344
CHECK DATE: 12/2912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 19.99 OTHER MISCELLANOUS
Cellular Necessities
317 -641 -0996
Celebrating Ten Years!
We appreciate your business
INVOICE# 12151
Credit Card Purchase
DATE�TIME: 12/27/2010 6:10:59 PM
CASH ER: Aykut
STATION: 01
FP $19.99 =09*
1 4 $19.99 $19.99
Subtotal $19.99
Tax $1.40
GRAND INN $21.39
Credit Amount $21.39
5 %of f` f rom
original price w/
receipt, on your next
hone cover,
e appreciate your business!
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
jj Payee'!�
LVvJ Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/t
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
099
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I 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
,20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund