179850 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 361263 Page 1 of 1
ONE CIVIC SQUARE TROY SMITH
�i CHECK AMOUNT: $43.00
CARMEL, INDIANA 46032
CHECK NUMBER: 179850
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
•1110 4231400 43.00 GASOLINE
31 MARA MART
S k 218 AND U S 31
BUNKER HILL IN.
DLk# 08866836699
1 1 11/69 09:33:43
ACCT#
RCPT# 5 6866
INV" oit'4338
RFFH 61. 89- -087
AUT"H C40 APPR 834580
PUMI'N 3 SELF
UNLOADED 1.6.481G
PRICE /GAL $2.609
FUEL TOTAL $43.00
TOTAL. -%43.00
YOU COULD "AVE SAVED
UP TO $2.15 BY
USING A MARATHON
MASTERCARD
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
troy D. Smith Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/11/0 reimburse Officer Troy Smith for gas while attending 43.00
K9 recertification trainin
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
VO41CHER NO. WARRANT NO.
ALLOWED 20
Troy D. SMith
IN SUM OF
43.00
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 43.00 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
Chief of police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund