172284 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
i ONE CIVIC SQUARE CRYSTAL FLASH CHECK AMOUNT: $27.00
CARMEL, INDIANA 46032 545 S RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 172284
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 27 GASOLINE
CN>
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
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Crystal Flash 4667 Purchase Order No.
'545 S. Raneline Road Terms
;Carmel, IN $6032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/15/09 payment for gasoline 27.00
Total
I 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
VDUCHER NO. WARRANT NO.
ALLOWED 20
C stal Flash �r 67 IN SUM OF
545 S. Rangeline Road
Carmel, IN 46032
27.00
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 314 27.00 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
May 8 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund