175127 07/22/2009 -CITY OF CARMEL, INDIANA VENDOR: 279500 Page 1 of 1
ONE CIVIC SQUARE JAMES SEMESTER JR
CARMEL, INDIANA 46032
CHECK NUMBER: 175127
CHECK DATE: 7/22/2009
DE PARTMENT A ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 6.45 OTHER MISCELLANOUS
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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
James S. Semester Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/16/09 reimburse Lt. Jim Semester for kitty litter for oil 6.45
Leak from recovered vehicle
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
h
J ames S. Semester
IN SUM OF
6.45
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 390 -99 6.45 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
July 17 20 09
Signature
rhi f of Po7i e
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund