166343 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 241254 Page 1 of 1
4 ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 C/O CARMEL POLICE DEPT CHECK AMOUNT: $199.61
C/O CARMEL POLICE DE
CHECK NUMBER: 166343
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
1110 4239099 199.61 OTHER MISCELLANOUS
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Prescri�U 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
Petty Cash Purchase Order No.
3 Civic Square Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/18/0 reimburse petty cash 199.61
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
b etty Cash
IN SUM OF
3 Civic Square
Carmel, IN 46032
199.61
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 390 -99 199.61 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
November 18 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund