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167079 12/17/2008 CITY OF CARMEL, INDIANA VENDOR 354402 Page 1 of 1 ONE CIVIC SQUARE DAVE HABOUSH CHECK AMOUNT: $39.00 CARMEL, INDIANA 46032 609 TANNINGER DRIVE ara INDIANAPOLIS IN 46239 CHECK NUMBER: 167079 CHECK DATE: 1211712008 DEPARTMENT ACCOUNT PO N UMBER INVOIC NUMBER AMOUN DESCRIPTION 1120 4231400 J 39.00 GASOLINE r A s wE[.coMr_ CHYSTAI I 16i>3h7U131S -0611 I;RV VA! FLRSit#b CARM 1 IN +`:.T" 12!! 1 /tf It I S ES: 1, !i vIA NUTFi.Y v 2 4'2 ill li� PUMP PR0D11C 1'1'1• t; rtL L 11NS 2 t 578 'G ;39. HEs TI'tANi< Y0U HAVE g N:Ce= DAY VOUCHER NO` WARRANT NO. ALLOWED 20 Dave Haboush IN SUM OF $39.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept INVOICE NO ACCT #!TITLE AMOUNT Board Members 1120 42-31400 $39.00 1 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 DEC 15 2008 <7 Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board or Accounts City F,.i m No 2 �,1 (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)) Fuel $39.00 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