207470 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 354402 Page 1 of 1
ONE CIVIC SQUARE DAVID HABOUSH
CARMEL, INDIANA 46032 1942 TROWBRIDGE HIGH STREET CHECK AMOUNT: $225.00
GARMELIN 46032 CHECK NUMBER: 207470
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 225.00 OTHER EXPENSES
CARMEL RETAIL STORE
CARMEL, Indiana
460329998
1740350814-0098
03/14/2012 (800)275--8777.02:02:19 PM,
';ales Receipt
product
produc:t Sale Unit Final
Desc: r i IL Price Price
INIckLP $0,00
Fo I e- X
$225.00
Lady
$225.00
Paid by:
$225.00
Accoult it; XXXXXXXXXX
Approval 0: 0141":Q
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BRIGHTEN SOMEONE'S MAILER. Greeting
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VOUCHER NO. WARRANT NO.
Dave Haboush ALLOWED 20
IN SUM OF
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1 1z2ma 015- $225,00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1 materials or services itemized thereon for
which charge is made were ordered and
received except
r
Fire Chief
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))
$225.00
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 -1.0
20
Clerk- Treasurer