216864 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 366916 Page 1 of 1
ONE CIVIC SQUARE JONATHAN RICE
CARMEL, INDIANA 46032
CHECK NUMBER: 216864
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 120 . 00 UNIFORMS
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CARHEL'IN 46032
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ITEM AMOUNT
______________________________________
PANTS HEN 24.00
D-SHIRT SLEEVE 24.00
U-SHIRT TAKE-IN 72.00
______________________________________
PIECE
SUDT
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TOT 120'00
READY BY WED 01/30/13
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THANK YOU FOR YOUR BUSINESS . . . . .
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jonathan D. Rice
IN SUM OF $
$120.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-560.01 $120.00
I 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
Thursday, January 24, 2013
y
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))
01/23/13 uniform alterations $120.00
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