167618 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 00350028 Page 1 of 1
ONE CIVIC SQUARE FRED GLASER
CHECK AMOUNT: $8.49
fro CARMEL, INDIANA 46032 10538 LAKESHORE DR E
CARMEL IN 46033 CHECK NUMBER: 167618
CHECK DATE: 117/2009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
2200 4230200 8.49 OFFICE SUPPLIES
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Date Order# Status Total Price
12/17/2008 72268599 Submitted $8.94 view cancel
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SHIP TO:
Fred Glaser
10538 E Lakeshore Dr
Carmel, IN 46033 -4131,
Pick Code 9777903 Page 1 of 1
Order Date 12/18/2008 Order 72268599
SKU QTY Sort TITL DESCRIPTION REF#
CMOTV3XHOL02 M 359 Clear Swivel Holster for Motorola Razr V3
TL'..nk you for your purchase and this package contains:
Qty Item List Item Name Internal Ref.
1 IVY 359 CMOTV3XHOL02
Thank you for your order
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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
•Fred Glaser
Purchase Order No.
,,Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/18/08 n/a .Cell Phone Holster $8.94
Total 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
_VOUCHER NO. WARRANT NO.
ALLOWED 20
Frod Glas IN SUM OF
Engineering Department
$8.49
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a n/a 2200 4230200 $8.49 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
20
r Si nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund