177199 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 098255 Page I of 1
ONE CIVIC SQUARE MICHAEL FOGARTY CHECK AMOUNT: $33.00
CARMEL, INDIANA 46032 12880 UNIVERSITY CRESCENT, #1A
CARMEL IN 46032 CHECK NUMBER 177199
CHECK DATE: 9/1512009
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 33.00 TRAVEL LODGING
Prescribectby 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
Michael D. Fogarty Purchase Order No.
12880 University Crescent 1A Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/14/09 reimburse CHief Mike Fogarty for parkin
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
ichael D. Fogarty
IN SUM OF
12880 University Crescent lA
Carmel, IN 4 032
33.00
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 430 -03 33.00 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
September 14 20 09
5,,�t Signature
Chief o f Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund