195039 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
ONE CIVIC SQUARE ANN GALLAGHER
CARMEL, INDIANA 46032 171 PARKVIEW COURT CHECK AMOUNT: $39.69
CARMEL IN 46032 CHECK NUMBER: 195039
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 39.69 OTHER EXPENSES
F(y
it 3 et 6 C`.: 0:z5'1 '1 L E T I I N, I N
6110 EAST 86TH J'Sl REET
CASl'LE_TON. IN06250
MEMBER,- #1117771 "81311
RESALE N
E 22:2651 'UNCHIP VR� 8.75
E 2'14911 KJJDOS 100 CAL 5.97
E 45208241USTIN VRl' 6.99
E 3.3971 B HABISCOA UE 9.99
E 139310 VRTY PREIT EL 7.99
RESALE;: T:OTJ 39.69
NON RESALE".. TOTAL.. .00
VF
39.69
XXXXXXXXXX� SWIPED
02117111 12:A PIN USED
Se 011: 73A IIPti 010 1 :y7
ResP: AA
Tran ID 041'.133 000
Merchant ID '9!;103 -461'1
APP'ROYED PURCHASE
AMOUNT: $39.69
0346 012 0000000070 0121
CHANGE .00
TOTAL NUMBER (IF ITEMS SOLD m 5
CASHIER: HEATHER S REG# 12
WMIA X01111 1226 0346 12 0121 70
FIHANK YOU
PLEASE C:+ -)ME' AIaAIN
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ann Gallagher
IN SUM OF$
171 Parkview Court
Carmel, IN 46032
$39.69
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
852 852.00 $39.69 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
Wednesday, February 23, 2011
C
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))
02/17/11 reimburse Ann Gallagher for refreshments for Citizen's Acad. $39.69
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