HomeMy WebLinkAbout195399 03/16/2011 �4w CITY OF CARMEL, INDIANA VENDOR: 075010 Page 1 of 1
ONE CIVIC SQUARE MICHEAL DIXON CHECK AMOUNT: $20.02
if CARMEL, INDIANA 46032 359 W. BUCKEYE STREET
CICERO IN 46034 CHECK NUMBER: 195399
CHECK DATE: 311612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 20.02 GASOLINE
GasAmerica 0977
1659 E 236th St
Arcadia IN 46939
317- 758 -6318
Date: 02/25/1)
Time: 16:2
Invoice 76891
Purilp Gallons Prief
16 5.789 3.451
Product Amount
Unleaded 87 29.9e
TOTAL SALE 29.9e
MEMBER CARD
Card Sale
Approval 84271E
Reference 1555°
Thank you for
choosing GasAmerici.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mike Dixon
IN SUM OF
359 W. Buckeye Street
Cicero, IN 46034
$20.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# /Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1110 42- 314.00 $20.02 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
Friday arch 11, 2011
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))
02/25/11 reimburse Lt. Dixon for gasoline while at on -site $20.02
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