159301 05/14/2008 CITY OF CARMFL, INDIANA VENDOR: 359587 Page 1 of 1
ONE CIVIC SQUARE CROSSROADS CIGARS
CARMFL, INDIANA 46032 24555 HUDSON STREET CHECK AMOUNT: $56.70
SHERIDANIN 46069
CHECK NUMBER: 159301
CHECK DATE: 5/1412008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4239045 4258 56.70 RETAIL GOODS
Crossroads Cigars
24555 Hudson St.
Sheridan, IN 46069
317 -440 -8834
crossroadscigars @aol.com
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INVOICE 3 f GL INVOICE# 4259
Date:
Job Number:
TO:
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FROM:
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BALANCE DUE tt�vm
CUSTOMER SIGNATURE�
*Complete payment due within 30 days of above 2nd invoice date. Payments received after 30 days
will be assessed a 5%. penalty.
Prescribed by Stale 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))
S� 74)
Total S� 70
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 NQ. WARRANT NO.
ALLOWED 20
359587 IN SUM OF
Crossroads Cigars
24555 Hudson St
Sheridan IN 46069
5 76)
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
U5 4S T 3 90VSS S(, 7 v 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
20 OZ
ign aAu re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund