179605 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00351917 Page 1 of 1
ONE CIVIC SQUARE CARMEL FIRE DEPARTMENT AUXILIAR AMOUNT: $200.00
CARMEL, INDIANA 46032 C/O CARMEL FIRE DEPT
CARMEL IN 46032 CHECK NUMBER: 179605
CHECK DATE: 11/24/2009
DEPARTMENT ACCO PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
1120 4343004 200.00 TRAVEL PER DIEMS
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Logan Street Marketplace Invoice No. 9001
937 W. Logan Street
Noblesville, Indiana 46060
317 770 -8310
INVOICE
Customer RAisc
Name EMA Date 11/18/20
Address Carl Order No.
City Nobleville State IN ZIP
Phone 770 -3381
Qty Description Unit Price TOTAL
2 Sandwich Platter 2 79.00 158.00
2 Dozen Assorted Cookies 16.00 32.00
SubTotal 190.00
Shipping 10.00
Payment Check Tax Rate(s) 0.00% Is
Discount
Comments TOTAL 200.00
Please make check payable to Logan Street Marketplace
Thank you for your business!
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))
$200.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
CFD Auxiliary ALLOWED 20
IN SUM OF$
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 430.04 $200.00 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
NOV 2 3 20139
I o
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund