160740 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 355808 Page 1 of 1
0 ONE CIVIC SQUARE R EDWARD ALVAREZ CHECK AMOUNT: $71.99
CARMEL, INDIANA 46032 9562 WINDBREAK COURT
FISHERS IN 46038 CHECK NUMBER: 160740
CHECK DATE: 6/2512008
W
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356003 71.99 SAFETY ACCESSORIES
r�
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
4thom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
R. Edward Alvarez Purchase Order No.
9562 Windbreak Court Terms
Fishers, IN 46037 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/4/08 reimburse Ed Alvarez for boots 71.99
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
R E Alvarez IN SUM OF
9562 Windbreak Court
Fishers, IN
71.99
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# EP or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 560 -03 71.99 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
June 17 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
mef L�v P
W. Carmel Dr.
Carmel, IN 130
;317% 573-8300 n-.f-1jer.com
The Meijer Team appreciates V0111' bu�.inesi;
06/N/08
Y01.11 fast and friendly Checkout was
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SAV q G S TODA -A A:
TOTAL NON COUPON SAVINGS 78. 00 W
-SAVINGS TOTAL 1-8, C)(-
GENERAL
-4611883530 MEN"S BOOTS
was 89.99 f .1
1099 Cl
TOTAL
TOTAL TAX 5.
TOTAL 77.03
PAYMENTS
TINDER 77.03
Acct:XXXXXXXXXXXX9270
NUMBER OF TIEMS I
013 03FTWTWIJS
Tx:65 OP: 211 Tm:16 StA30 12:30:01
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