163696 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 361855 Page 1 of 1
ONE CIVIC SQUARE FRANK CUMMINS
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CARMEL, INDIANA 46032 10369 MONARCH COURT CHECK AMOUNT: $21.99
TOE NOBLESVILLE IN 96060 CHECK NUMBER: 163696
CHECK DATE: 9117/2008
DEPARTMENT ACCOUNT P O NUMBER INVO NUMBER AMOUNT DESCRIPTION
1120 4231100 21.99 BOTTLED GAS
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Frank Cummins
IN SUM OF
$21.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1 120 42- 311.00 $21.99 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
EP 15 20138
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Propane for Sta. 45 $21.99
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