169498 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 361521 Page 1 of 1
ONE CIVIC SQUARE ANTHONY KEATON
CARMEL, INDIANA 46032 7655 MADDEN LANE CHECK AMOUNT: $23.53
FISHERS IN 46038
CHECK NUMBER: 169498
CHECK DATE: 3/4/2009.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1120 4231100 23.53 BOTTLED GAS
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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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Propane for Grill $23.53
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 N WARRANT NO.
ALLOWED 20
Tony Keaton
IN SUM OF
$23.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 42- 311.00 $23.53 1 hereby certify that the attached invoice(s), or
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
MAR 2 2009
l
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund