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179695 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 125550 Page 1 of 1 ONE CIVIC SQUARE BRADLEY HEDRICK CHECK AMOUNT: $20.00 CARMEL, INDIANA 46032 CHECK NUMBER: 179695 CHECK DATE: 11/24/2009 D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 REIMB 20.00 GASOLINE 8 1' w� r LLAHAN TRAVEL P 8 wAhLQMQjRUCK Pty RTH PERU IN T A 10407515 EATE 11/1009 14:52 PUMP A 0 PRODUCT: RW GALLONS: PR ICES MASTERCARD I) Ll L' i A u t I-, o: 05507 RGF: ME35010 Rasp c6de: 000 Stan: 0400509 SITE ID: 8472P Earn .5 5,'(. ram i,, w it h the BP visa Take appi i ca P i o n Elt APPI, TC'J3-J THANK YOU HAVE A NICE Pre ,Aed 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 Brad A. Hedrick Purchase Order No. 1 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/12/09 reimburse Det. Brad Hedrick for gas while on investigation 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 B rad A. Hedrick IN SUM OF 20.00 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 314 20.00 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 November 18 20 09 Signature .hi f of oli e Cost distribution ledger classification if Title claim paid motor vehicle highway fund