HomeMy WebLinkAbout212824 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 365199 Page 1 of 1
ONE CIVIC SQUARE ANDREW ZELLERS
CARMEL, INDIANA 46032
CHECK NUMBER: 212824
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 54 . 05 GASOLINE
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WELCOME TO
CIRCLE K
57 444 808208
SID0522
< DUPLICATE RECEIPT > � 4,jaZt2J
DATE08/20/12 8:48PM _
INVOICE# 304972
AUTH# 608613 o0
PIN USED
Debit
ACCOUNT NUMBER
XXXX XXXX XXXX 9857 yif
ZELLERS/ANDREW
PUMP PRODUCT $/G �
09 E-85- $3.689
GALLONS FUEL TOTAL
14.652 $ 54.05
TOTAL SALE $ 54.05
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THANKS COME AGAIN
VOUCHER NO. WARRANT NO.
ALLOWED 20
Andy Zellers
IN SUM OF $
$54.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I I 42-314.00 I $54.05 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
Wednesday, September 05, 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))
08/20/12 gasoline $54.05
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