170147 03/18/2009 a CITY OF CARMEL, INDIANA VENDOR: 361875 Page 1 of 1
ONE CIVIC SQUARE VICTORY TROPHY SHOPPE
CARMEL, INDIANA 46032 24880 SIX POINTS ROAD CHECK AMOUNT: $407.00
v SHERIDAN IN 46069 CHECK NUMBER: 170147
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11343 362591 407.00 SHIRTS
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a` adams keep this slip for reference 0 DC5808UV
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1050
VICTORY TROPHY SHOPPE Purchase Order No.
24880 Six Points Road Terms
Sheridan, IN 46069 Due Date 3/9/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/2009 362591 $407.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
C r"'
Date Officer
VOUCHER 095210 WARRANT ALLOWED
Tf050 IN SUM OF
VISITORY TROPHY SHOPPE
24880 Six Points Road
Sheridan, IN 46069
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
362591 01- 7200 -01 $407.00
Voucher Total $407.00
Cost distribution ledger classification if
claim paid under vehicle highway fund