HomeMy WebLinkAbout179371 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $29.00
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE
1�.oe `off C/O MAYOR'S OFFICE CHECK NUMBER: 179371
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4231400 29.00 GASOLINE
Cat
WELCOME
CRY STAL O FLASH
10 1 8 5 ?0 045 -88
CRYSTAI. 1 1 1SN #57
(r wZA{yGE�_INE RU
IIIIIIIII1 1 IN
DATE 18/227/69
AM
A -,l
rL00M.1 NUMBER
t
BAIINES "E'- GREY
PUMP PRODUCT
89 E65 $Z. 2 59
GALLONS To-fAL
12.836 $29.88
THANK YOU
HAVE A NICE DAY-
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
11/9/09 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
P etty cash Mayor Purchase Order No.
O ne Civic Sq Terms
C armel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/27/09 Receipt Gasoline for Mayor's vehicle $29.00
Total $29.00
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
VOUCHER NO. WARRANT NO.
11.9/09 ALLOWED 20
Petty cash Mayor IN SUM OF
One Civic Sa
Carmel IN 46032
29.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4231400
Gasoline
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
Receip 4231400 $29 .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
20o
4 Signatu
-Y, Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund