162919 08/20/2008 I
CITY OF CARMEL, INDIANA VENDOR: 241254 Page 1 of 1
ONE CIVIC SQUARE PETTY_ CASH CHECK AMOUNT: $15.00
o CARMEL, INDIANA 46032 C/O CARMEL POLICE DEPT
C/O CARMEL POLICE DE CHECK NUMBER: 162919
CHECK DATE: 8/20/2008
DEPA ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 43S8200 15.00 SPECIAL INVESTIGATION
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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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))
8/13/08 reimburse petty cash for document fees for on —going case 15.00
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
Pet Y Cash
IN SUM OF
3 Civic Square
Carmel, IN 46032
15.00
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 582 15.00 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
August 13 2008
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund