210362 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
0 ONE CIVIC SQUARE ANN GALLAGHER
CARMEL, INDIANA 46032 171 PARKVIEW COURT CHECK AMOUNT: $77.63
CARMEL IN 46032
CHECK NUMBER: 210362
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 77.63 OTHER EXPENSES
#346 CASTLETON, IN
6110 EAST 86TH STREET
CASTLETON, IN 46250
MEMBER #1 77781311
RESALE ON
519964 GHINET UP �D 8.99
E 87 O* SPRIf 7.95 t
E 87 *SPRI/TE* 7.95
E .84 *COCA 'COLA* 7.95
E 1752 *COKE !(ZERO* 7.95
E 85 *DIET&COKE* 7.95
E 86 *CF DT `COKE 7.95
6 3.49
r
E 1013 *,WATER 20.94
3
3 RESALE TOTAL °TT63
NON RESALE TO .00
TOTAL r9Xm
VF
SWIPED
06/27/12 14:10 PIN USED
Se99#: 001678 APP 922853
EFf /DEBIT ResP: AA I
Tran ID 217900846000
Merchant ID 99034611
APPROVED PURCHASE
AMOUNT: $77.63
0346 011 0000000037 0045
CHANGE .00
TOTAL NUMBER OF ITEMS SOLD m 13
CASHIER: CHRIS H REG# it
14:10 0346 11 0045 37
THANK YOU!
PLEASE COME AGAIN!
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))
06/27/12 refreshments officer retirement $19.46
06/27/12 coke water $58.17
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 NO.
ALLOWED 20
Ann Gallagher
IN SUM OF
171 Parkview Court
Carmel, IN 46032
$77.63
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
852 852.00 $19.46 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
852 852.00 $58.17
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, June 28, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund