169759 03/17/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH CHECK AMOUNT: $86.58
CARMEL, INDIANA 46032 545 S RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 169759
CHECK DATE: 3/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 FIRE 86.58 GASOLINE
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Prescribed by State Board of Accounts Ci� .,m No. 201 (Re�� 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
15549 Fuel $30.12
15548 Fuel $38.11
15547 Fuel $18.35
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crystal Flash #67
IN SUM OF
545 S. Rangeline Road
Carmel, IN 46032
$86.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 15549 42- 314.00 $30.12 hereby certify that the attached invoice(s), or
1120 15548 42- 314.00 $38.11
bill(s) is (are) true and correct and that the
1120 1 15547 1 42- 314.00 $18.35
materials or services itemized thereon for
which charge is made were ordered and
received except
MAR
7 c
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund