215464 12/12/2012 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
ONE CIVIC SQUARE ANN GALLAGHER
CARMEL, INDIANA 46032 171 PARKVIEW COURT CHECK AMOUNT: $8.98
CARMEL IN 46032 CHECK NUMBER: 215464
CHECK DATE: 12/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 8 . 98 OTHER MISCELLANOUS
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2003 !E. ,Greyhound Pass
Cuiifiel IN 46033
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FABRIC
NBEDLEART'
Subtotal
TX 7.000 $0/63
-I--OlFiA.N_ $9.61
$9.61
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APPROVED
APR# C 890619
R|E�# 23411125373
THANK YOU
PLEASE CONE AGAIN
RIETURN POLICY ON BACK OF RECEIPT
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Ann Gallagher
IN SUM OF $
171 Parkview Court
Carmel, IN 46032
ern no
C IATION FOR
Iment
PO#/Dept. INVOICE NU. AU L;i IF/i i rLE AMOUNT
� Board Members
1110 42-390.99 $8.98
I hereby certify that the attached invoice(s), or
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
Thursday, December 06, 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))
12/06/12 fabric;for gun box $8.98
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