202718 10/11/2011 4 �QL CITY OF CARMEL, INDIANA VENDOR: 241762 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 LAW ENF AID FUND CHECK AMOUNT: $18.99
LAW ENF AID FUND CHECK NUMBER: 202718
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CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4237000 18.99 REPAIR PARTS
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CA-AL
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940 WEST 16TH STREET
INDIANAPOLIS,IN
317 925 2277
WWW.INDYPICAPART.COM
DATE 09/30/2011 FRI
,ENVIRON FEE $1.00
TAIL LAMP ASSY T1 $16.99
CORE 1:00 $1.00
SUBTOTAL Cl $16.
TAXI AMT $1.19
TOTAL $20.18
CASH $50.25
CHANGE $30.07
NO.204030 REG 04 Mike TIME 11;58
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45 DAY WARRANTY ON ALL PARTS
NO CASH REFUNDS
STORE CREDIT ONLY
OPEN 8 A.M, TO 6 P.M. r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash /Law Enforcement Aid Fund
Marie Doan
IN SUM OF
3 Civic Square
Carmel, IN 46032
$18.99
ON ACCOUNT OF APPROPRIATION FOR
Promect 2011 -911 Task 2011 -2
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
911 42- 370.00 $18.99 I 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, September 30, 2011
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Major
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))
09/30/11 Repair Part for Locke's vehicle $18.99
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