210998 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 241254 Page 1 of 1
` ONE CIVIC SQUARE PETTY CASH
CARMEL INDIANA 46032 C/O CARMEL POLICE DEPT CHECK AMOUNT: $384.65
,
C/O CARMEL POLICE DE CHECK NUMBER: 210998
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 384 . 65 OTHER EXPENSES
Cos c;+ar ac,3ipt (Store Copy)
y's Subshop #738
1116th St, Ste 130
Carmel , Indiana 46032
Phone: (317" 816-1239
.-ax 1 (317) 816-1299
Ready `3Y: Fri 06/29/2012 9:09 AM
Printer: Fri 06/29/2012 8:55 AM
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cket # It
Employee: Brinna
---------------------------------------------
uelivery
------------------------------------------
ANN GALLAGER
---------------------------
7 Deluxe for 10 $384.65
Sub Total : $384.65
Discounts: Tax Exeinpt $0.00
Taxes: $0.00
Up Charges: $0.00
T-+al : $384.65
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
3 Civic Square
Carmel, IN 46032
$384.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
852 -852.00 $384.65
1 hereby certify that the attached invoice(s), or
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 July 11, 2012
Chief of Police
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))
06/29/12 refreshments/retirement party $384.65
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