164714 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
ONE CIVIC SQUARE ANN GALLAGHER
0
CARMEL, INDIANA 46032 171 PARKVIEW COURT CHECK AMOUNT: $29.85
o� Lp CARMEL IN 46032 CHECK NUMBER: 164714
CHECK DATE: 10/16/2008
DEPARTMENT ACC P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 29.85 OTHER EXPENSES
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I
Prescri*d 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
Ann Gallagher Purchase Order No.
;171 Parkview Court Terms
Carmel, IN 46032
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/5/08 reimburse Ann Gallagher for noodles for car seats 29.85
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
Ann Gallagher IN SUM OF
171 Parkview Court
Carmel, IN 46032
29.85
ON ACCOUNT OF APPROPRIATION FOR
police gift fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
852 852 29.85 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
October 9 20 08
D
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund