167052 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH
CARMEL, INDIANA 46032 545 S RANGELINE ROAD CHECK AMOUNT: $79.25
CARMEL IN 46032
CHECK NUMBER: 167452
CHECK DATE: 12117/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
,1110 4231400 15536 41.00 GASOLINE
1110 4231400 15538 38.25 GASOLINE
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
Crystal Flash #67 Purchase Order No.
545 S. Rnageline road Terms
Carmel, IN $6032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
IM 15536 payment for gsoline 41.00
10/1 08 15538 payment for gasoline 38.25
Total 79.25
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 NO.
ALLOWED 20
crystal Flash #67 IN SUM OF
545 S. Rangeline Road
Carmel, IN 46032
79.25
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
1110 15536 314 41.00 bill(s) is (are) true and correct and that the
1110 15538 314 38.25 materials or services itemized thereon for
which charge is made were ordered and
received except
December 10 20 08
Signature
Chi of Pali rP
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund