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165229 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1 ONE CIVIC SQUARE ANN GALLAGHER CARMEL, INDIANA 46032 171 PARKVIEW COURT CHECK AMOUNT: $18.99 CARMEL IN 46032 CHECK NUMBER: 165229 CHECK DATE: 10/29/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION -1110 4239010 18.99 AMMUNITIONS ACCESSO h x r g e a F u. a 1. ,a 65 K7 -A Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) d 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)) Gallagh 10/21/H reimburse Ann 2 cartridges 18 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 VOI!CHER NO. WARRANT NO. r ALLOWED 20 Ann GAllagher IN SUM OF 171 Parkview Court Carmel, IN 46032 18.99 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 390 -10 18.99:` 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 .nrvnbpr 91 20 Signature Assistant Chief of Police-, Cost distribution ledger classification if Title claim paid motor vehicle highway fund