HomeMy WebLinkAbout178343 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
s•. ro CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK AMOUNT: $65.39
C/0 MAYOR'S OFFICE CHECK NUMBER: 178343
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
1160 4231400 16.39 GASOLINE
1160 4355100 49.00 PROMOTIONAL FUNDS
V
r
yam- 17 J ti
0
C a1III)
WELCOME=.
TO
CRYSTAL FLASH
1D18570045 -881
CRYSTAL. FLASH #67
545 S RANGE -LINE RD
CARMEL I [N
DATE 03/28/69 i
TIME 134 PM
RUTH# 3C 15
0DOM LR �zl:l3'6
FUELWeI ,d Fl-u;S
ACV KAT NUMBER
XXXXXX XX.1525
PUMP P[s'111�I1 i;T PP('.
89 1 c85 $2.1.55
GALLONS TOTAL
7. 591 $.1.6 35
THANK YOU
HAVE A NICE DAY
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
10/12/09 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
Petty cash Mayor Purchase Order No.
One Civic Sq Terms
Carmel In 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/28/09 Recei t Gasoline for Mayor's vehicle $16.39
Total $16.39
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.
1209 ALLOWED 20
P- atty Cash Mayor
IN SUM OF
One Civic Sq
Carmel IN 46032
16.39
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4231400
Gasoline
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Receip 4231400 $16.39 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
1,7 (9, d-- 20d
J �Sign ure
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
V Al Ct/
J 1
yd� fZ(rC -d v j C/ From the desk of
Stephen C. Engelking
S (✓.zi1)�
Kelties 1��
Rt Catet t,a V
th i_'tuon f
t ,r tti id. tdia is 460
W
1 al: °l --CtIC t i
G
1' 1� y
.00
4.00"
Z at 2.00 each
DA_1L1 4.00
2 tat 4.[!Il Each 8.011
ViRAP THEVVEEK 12 01
Tax: tRestaurant al'id CatzriiIg Uniformed Services°
Total: n l ice in Government
6074 us.org
Total: 4W`3
(1. IonclaT,r- Satlll C�a�' 1 Jt� r 1
-9p.
12:. 1
I riirti's i
TCK :'01
Tear At Doaed Line A mount
Tip
T otal
Customer Copy
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
10/12/09 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
r Petty Cash Mayor Purchase Order No.
One Civic Sq Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/8/09 Receipt Darrell Norris lunch 49.00
Total J49.00
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.
;0/12/09
ALLOWED 20
:Petty Cash Mayor IN SUM OF
One Civic Sq
Carmel IN 46032
49.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355100
Promotional Funds
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Receipt 4355100 $49.00 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
2065
r,Sjgnat
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund