171829 04/29/2009 a f CITY OF CARMEL, INDIANA VENDOR: 085325 Page 1 of 1
0 ONE CIVIC SQUARE STEVE ENGELKING CHECK AMOUNT: $27.70
CARMEL, INDIANA 46032 6221 WINFORD DR
INDIANAPOLIS IN 46236 CHECK NUMBER: 171829
CHECK DATE: 4/29/2009
D EPARTMENT ACCOUN PO NUMBER INVOICE NUMBER A MOUNT D ESCRIPTION
1160 4231400 27.70 GASOLINE
From the desk of
Stephen C. Engelking WELCOME
TO
CRYSTAL FLASH
IDIS570045 -001
CRYSTAL FLASH #67
vv 545 S RANGEL INE RD
CARREL IN
�y�
DATE 04/09/09
TIM 1:31 PM
RUTH# 00982P
COUNT NUMBER
J t XXXX Xxxx XXX7d
ENGELKING /STEPHEN
PUMP PROU4CI PPG
UNLE $2.099
j
I GALLONS L TOTAL
13.198 $27.70
THANK YOU
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1
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1
Prescribed oy State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
4127/09 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
Steve Engelking Purchase Order No.
One Civic Sq Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/9/09 Recei t Gasoline for Mayor's vehicle $27.70
Total $27.70
1 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.
4/27/09
ALLOWED 20
Steve Engelking IN SUM OF
One Civic Sq
Carmel In 46032
27.70
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4231400
Gasoline
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Receipt 4231400 $27.70 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
2] 2007
Signature
kZ
Cost distribution ledger classification if Tlt
claim paid motor vehicle highway fund