172791 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 355677 Page 1 of 1
1 ONE CIVIC SQUARE ANGELINA CONN CHECK AMOUNT: $20.00
®o' CARMEL, INDIANA 46032 CHECK NUMBER: 172791
CHECK DATE: 5/27/2009
DEPARTMENT ACCOU PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
1192 4231400 20.00 GASOLINE
/nom
CRYSTAL FLASH #67
545 S. RANGELINE RD.
CARMEL, IN 460
317-846-2828
1D18570045 -001 CRYSTAL FLASH467
545 S RANGELINE RD CARMEL IN
Descr. .atY amount
Prepay CA #02 20.00
Sub Total 20.00
Tax 0.00
TOTAL 20_00
CASH 20.00
WE APPRECIATE YOUR
BUSINESS
REG# 0003 CSH# 018 DR# 01 TRAM# 3
05112109 13:46:32 ST# 67
iT
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
r
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
r
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/12/09 Gas City Vehicle $20.00
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
Angie Conn
f IN SUM OF
C /OR,One Civic Square
Carmel, IN 46032
$20.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1192 42- 314.00 $20.00 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
Friday, May 22, 2009
rector, D S
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund