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174816 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00353368 Page 1 of 1 ONE CIVIC SQUARE GEORGE W DAVIS y CARMEL, INDIANA 46032 3854 CORNWALLIS LANE CHECK AMOUNT: $17.60 CARMEL IN 46032 CHECK NUMBER: 174816 CHECK DATE: 7/22/2009 DEPARTMENT A PO NUMBER INV NUMBER AMOUNT DESCRIPTION �«i1110 4342100 17.60 POSTAGE t� CARMEL RETAIL STORE CARMEL, Indiana 460329998 1740350814 -0096 07/08/2009 (800)275 -8777 13:11:06 AM Sales Receipt Product Sale Unit Final Description Qty Price Price $8.BO 1 $8.80 $8.80 Forever Stamp PSA Dbl -Sd Bkit $8.80 1 $8.80 $8.80 Forever Stamp PSA Dbl -Sd Bklt Total: $17.60 Paid by: am ow 0 Account XXXXXXXKXXXXaft Approval 360277 Transaction 654 23903091171 Receipt 000781 Order stamps at USPS.com /slop or call 1- 800- Stamp24. Go to USPS.com /clicknship to Wit shipping labels with postage. For other information call 1- 800 ASK -USPS. Bill #:1000401382782 Clerk:05 All sales final on stamps and postage Refunds for guaranteed services only Thank you for your bu3iness HELP US SERVE YOU BETTER Go to: http: /gx.gallup.com /pos TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS Customer Copy Prewrbed 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 George W. Davis Purchase Order No. 3854 Cornwallis Lane Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/8/09 reimburse Chaplain George Davis for postage 17.60 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 VOOCHER NO. WARRANT NO. ALLOWED 20 George W. Davis IN SUM OF 3854 Cornwallis Lane Carmel, IN 46032 17.60 ON ACCOUNT OF APPROPRIATION FOR police genera lfund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 421 17.60 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 July 16 20 09 7� Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund