177356 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 241254 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 C/0 CARMEL POLICE DEPT
o� C/0 CARMEL POLICE DE CHECK NUMBER: 177356
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 25.00 TRAVEL LODGING
Central CUSTOMER RECEIPT
Parking ,log
System Date:
oU
Amount:
P( L
Location:
Signature
CPS 24
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TI IANK YOU
Prescribed by Slate 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
P etty Cash Purchase Order No.
3 Civic Square
Terms
Carmel, IN 46032
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/10/09 reimburse petty cash for parking 14.0
T. Green IACP Conference
9/9/09
Total 25.00
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.
ALLOWED 20
P;, y Cash
3 Civic Sq IN SUM OF
Carmel, IN 46032
25.00
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 14.00 bill(s) is (are) true and correct and that the
1110 p 11.00 materials or services itemized thereon for
which charge is made were ordered and
received except
Sept 11. 20 09
51 Ae
Signature
al
itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund