HomeMy WebLinkAbout175076 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK AMOUNT: $29.00
C/O MAYOR'S OFFICE
CHECK NUMBER: 175076
CHECK DATE: 7/22/2009
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4231400 29.00 GASOLINE
G
WELCOhl-
TO
NYSTAL FLASH
8t )70045-001
CRYSTAL FLASH #67
545 S RANGELINE RD
CARMEL I IN
DA1' 87/8i 89
7:45 AM
AUTHO G3 �a
ODO10. 359
FUEL ?i PLUS
A4 NUMBER
PUMP I DUCT pPG
89 E $2.299
GALLONS TOTAL
12.615 $29.88
THANK YOU
HAVE A NICE DAY
Pres�iibed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER
City Form No. 201 (Rev. 1995)
/zo /o9 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))
7/9/09 Recei t Gas 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.
7120/0 ALLOWED 20
Petty Cash Mayor IN SUM OF
One Civic Sq
Carmel In 46032
29.00
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 $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
20
natywe
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund