178153 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
Q� ONE CIVIC SQUARE ANN GALLAGHER CHECK AMOUNT: $6.99
CARMEL, INDIANA 46032 m PARKVIEw
CARMEL IN 46032 CHECK NUMBER: 178153
CHECK DATE: 10/14/2009
D EPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
k_1110 4230200 6.99 OFFICE SUPPLIES
City Form No. 201 (Rev. 1995)
:OUNTS PAYABLE VOUCHER
CITY OF CARMEL
F{Ik t• Yl i
`*r st show: kind of service, where performed, dates service rendered, by
per hour, number of units, price per unit, etc.
L OB
2206 E. 116th Street
Carmel IN 46032 Purchase Order No.
(317) 818 -9217
HOB -LOB #182 Terms
2:57PH Oct 8/09 Date Due
01 -0001 007 JUSTIN
#14770 Description Amount
(or note attached invoice(s) or bill(s))
SCRAPBOOK TT6.99 ;e Ann Gallagher for tape for career day board 6.99'
TAX EXNP
T OTAL 1-6.
CASH 17.00
CHANGE 10.01
THANK YOU
PLEASE CONE AGAIN
RETURN POLICY ON BACK OF RECEIPT
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E)(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
-A Gallagher IN SUM OF
171 Parkview Court
Carmel, IN 46032
6.99
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 302 6.99 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
October 9 20 09
--&"a -D
Signature
CHief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund