161623 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 343580 Page 1 of 1
ONE CIVIC SQUARE NANCY L ZELLERS
CARMEL, INDIANA 46032
CHECK NUMBER: 161623
CHECK DATE: 7111/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1110 4231400 62.92 GASOLINE
T
Cir° -le K
SALES RECEIPT
5`l 442 111199
SHEi L
11691 ALLISONVILLE R
FISHERS
Ida 46038
DATC96 /29/98 6:191'M
IN` OICEi4 433284
RUTH# 077616
ACCOUNT NUMBER
XXXX XXXX XXXX
ZELLERS /NANCY
PUMP PRODUCT $/G
.1.l M I Dl $4.149
GALLONS FUEL TOTAL
15.164 62.92
Thank YOU!
Curie Again!
%bed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
T 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
Nancy L. Zellers Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/29/08 reimbursement for gasoline 62.92
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
N ancy L. Zellers
IN SUM OF
62.92
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 314 62.92 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 30 20 08
I
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund