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206874 02/29/2012 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1 ONE CIVIC SQUARE ANN GALLAGHER CHECK AMOUNT: $40.24 CARMEL, INDIANA 46032 171 PARKVIEW COURT CARMEL IN 46032 CHECK NUMBER: 206874 CHECK DATE: 2/29/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 40.24 OTHER EXPENSES 43-46 CASTLETON, _CN 6110 EAST 86 H STREET CASTLETON�, IN 46250 MEMBER 11777781311 RESALE ON E 10134 *ftKS' W TER*# 3.49 E 10134 j*NKS WATERmft 3.49 E 339718 NABISCO BLUE 10.99 E 997277 PRTZILISNDWCH" 6.39 E 600594 CRACKER VP 7.89 E 138310 VRTtYJ+ PRETZEL 7.99 RESALE T 40.24 NON RESALE T0�1AL .00 VF EOFTi0k,/ lift 0 xxxxxxXXXXXX SWIPED 02/17/12 11:56 ;j1+' RIN USED Se9# 003332 APP: 7194.7,2 EFT /DEBIT Resp AA Tran ID 204829213000 Merchant ID 99034611 APPROVED PURCHASE AMOUNT: $40.24 C 0346 006 0000000813 0053 CHANGE .00 TOTAL NUMBER OF ITEMS SOLD 6 CASHIER: BRITTNEY D. REG# 6 MAIM- f1h 11 :56 0346 06 0053 813 THANK YOU! PLEASE COME AGAIN! .,go VOUCHER NO. WARRANT NO. ALLOWED 20 Ann Gallagher IN SUM OF 171 Parkview Court Carmel, IN 46032 $40.24 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Gift Fund PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 852 852.00 $40.24 I 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 Wednesday, February 22, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 02/17/12 refreshments $40.24 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