208690 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
ONE CIVIC SQUARE ANN GALLAGHER CHECK AMOUNT: $7.50
CARMEL, INDIANA 46032 171 PARKVIEW COURT
CARMEL IN 46032 CHECK NUMBER: 208690
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 7.50 OTHER MISCELLANOUS
ccw7co
#346 CASTLETON, IN
6110 EAST '86TH STREET
CASTLETON, IN 46250
MEMBER #11758617420
101 3 *KS WATER 3.75
10134 *KS WATER 3.75
TOTAL
IF f 7.50
(XXXXXXXXXXX1439 WIPE
)4/25/12 13:42 ED
;e9 000565 APP9: 056228
:FT /DEBIT -,-ResP: AA
Fran ID 211643075000
lerchant ID 99034611
APPROVED PURCHASE
AMOUNT: $7.50
0346 202 0000000202 0099
CHANGE .00
'OTAL NUMBER OF ITEMS SOLD 2
;ASHIER: SCO LANE #202 REG# 202
&��!�•7/!NK' 13:42 0346202 0099 202
THANK YOU!
'LEASE COME_ AGAIN!
THANK YOU
*For Using COSTCO*
Se Checkout
I
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))
04/25/12 reimbursement for water for shred -it day $7.50
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 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT N
ALLOWED 20
Ann Gallagher
IN SUM OF
171 Parkview Court
Carmel, IN 46032
$7.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 42- 390.99 $7.50
I hereby certify that the attached invoice(s), or
I I I
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
Wednesday, Ma 02,2
012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund