200575 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK AMOUNT: $60.00
C/O MAYOR'S OFFICE CHECK NUMBER: 200575
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4231400 60.00 GASOLINE
WELCOME TO c�S
CIRCLE K
57 444 808208
S100522
Descr. qty amount
Prepay CA #05 60.00
Sub Total 60.00
Tax 0.00
TOTAL 60 -00
CASH 60.00
THANKS COME AGAIN
REG# 0004 CSH# 014 DR# 01 TRAM 46189
08/03/11 15:12:22 ST# 2368
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash Mayor Brainard
IN SUM OF
One Civic Square
Carmel, IN 46032
$60.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Members
1160 Receipt 42- 314.00 $60.00 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
Friday, August 12, 2011
Mayor
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))
08/03/11 Receipt $60.00
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