176467 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00351302 Page 1 of 1
;�t ONE CIVIC SQUARE SCOTT TIERNEY CHECK AMOUNT: $67.55
?a CARMEL, INDIANA 46032 19001 CRESTVIEW COURT
WESTFIELD IN 46074 CHECK NUMBER: 176467
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT PO N UMBER INV NUMBER AMOUNT DESCRIPTION
1120 4341901 67.55 FILM DEVELOPMENT
ROBERTS' DTSTRTa I
12225 N, 1 IERIDTAN
CARMEL, IN 46032
ti 31 7 -8 1 a '9800
Cici,et# 5- 1139630
orig ord 5_ 11 39630 lj s
07 2 9/2009 2:29 S5
tam Stat. i
I tem Qa
Description y Price
CRM -,CAN PRTN?�___
1
CRM- -OOo31 15 3.97 59.5,
CFIM REPRINT 6x10/12 DIGITAL
CRM 00117 7 00 1. UU
CRM RFSI'ORATION P/ MINUTE
SUi) total 67.55
Tax 4.73
Total 72.26
I ende r`
VISA# XXXX743 '72.26
Order 1139630
Order total
order anit dne
Number of items pui chased: 23
Salesperson: 62
SCOTT TIFRNY
317 -590 -3626
No Merchandise may he returner! beyond 14
days f I date of Purchase. A l l
merchandise i t,be in new condition,
have original u'd:;kaging and be rei:urned
tl)ith blank warranty cards. Restocking
fee may aPPly.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
w 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))
$67.55
µs e',
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
Scott Tierney
$67.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 419.01 $67.55 1 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
AUG 17 2009
.All
a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund t''°