HomeMy WebLinkAbout167053 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH CHECK AMOUNT: $28.75
CARMEL, INDIANA 46032 545 S RANGELINE ROAD
CARMEL IN 46032
CHECK NUMBER: 167053
CHECK DATE: 1 211 712 00 8
D EPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT. DESCRIPTION
1110 4231400 15544 28.75 GASOLINE
7
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Prescribed by state Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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 Purchase Order No.
545 S. Rnageline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/12/08 15544 payment for gasoline 28.75
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
Crystal Flash IN SUM OF
545 S. Rangeline Road
Carmel, IN 46032
28.75
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
1110 15544 314 28.75 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
December 12 2 0 08
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund