198699 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 241254 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 C/O CARMEL POLICE DEPT CHECK AMOUNT: $274.20
C/O CARMEL POLICE DE CHECK NUMBER: 198699
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 41.81 AMMUNITIONS ACCESSO
1110 4356001 126.00 UNIFORMS
1110 4358300 106.39 OTHER FEES LICENSES
MONEYGRAM PAYMENT SYSTEMS, INC. DRAWER
P.O. BOX 9476
MINNEAPOLIS, MIN 55480
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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))
Devenport
06/17/11 reimburse petty cash for vehicle titles $106.39
06/17/11 reimburse petty cash for range supplies $41.81
06/17/11 reimburse petty cash for academy uniforms for Officer $126.00
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
VOUCHER NO. WARRANT N
ALLOWED 20
Petty Cash
IN SUM OF
3 Civic Square
Carmel, IN 46032
$274.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior }'cur I hereby certify that the attached invoice(s), or
1110 43- 560.01
bill(s) is (are) true and correct and that the
1110 43- 583.00 $106.39
materials or services itemized thereon for
1110 42- 390.10 $41.81
which charge is made were ordered and
1110 43- 560.01 $126.00 received except
Friday, June 17, 2011
C hief of P
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund