HomeMy WebLinkAbout217634 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
ONE CIVIC SQUARE ANN GALLAGHER
a CARMEL, INDIANA 46032 171 PARKVIEW COURT CHECK AMOUNT: $40.35
CARMEL IN 46032 CHECK NUMBER: 217634
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 40 . 35 OTHER EXPENSES
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L
COS700
4397 NW INDIANAPOLIS
9010 MICHIGAN ROAD
INDIANAPOLIS, IN 46268,
MEMBER #11177778131,1
E 339718 NABISCO BLUE / 10.99
E 10134 **KS WATER##� 3.49
E 1-0134 **KS WATER%*,/ 3.49
E 571548 SUNCHIPS30CY 11 .39
E 286976 KS TRAIL MIX 10.99 A
SALES TAX EXEMPTION
VF Tow �_!___ _ 40.35
------------
XXXXXXXXXXXX - SWIPED
02/15/13 11 :1 - PIN USED
Seg#: 000627 APP#: 151080
EFT/DEBIT ResP: AA
Tran ID#: 304648089000
Merchant ID '99034711
APPROVED - PURCHASE
AMOUNT:`$40.35
0347 007 0000000001 0084
---------------------------------------
CHANGE ..00-
TOTAL NUMBER OF ITEMS SOLD = 5
CASHIER: MITCH REG# 7
0K 11 :15 0347 07 0084 1
Thank You!
Please Come Again!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ann Gallagher
IN SUM OF $
171 Parkview Court
Carmel, IN 46032
$40.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
852 -852.00 $40.35
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, February 21, 2013
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))
02/15/13 refreshments/Citizen's Academy $40.35
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