219942 05/07/2013 VENDOR: 00353287 Page 1 of 1
CITY OF CARMEL, INDIANA g
ONE CIVIC SQUARE WESTFIELD FIRE DEPARTMENT
CARMEL, INDIANA 46032 17535 DARTOWN ROAD CHECK AMOUNT: $112.66
a o� WESTFIELD IN 46074 CHECK NUMBER: 219942
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 112 . 66 OTHER EXPENSES
CITY OF \� Westfield Invoice
Westfield
INDIANA DATE:April 10,2013
TO:CARA1EL FIRE DEPARTNUNT
Unit
Qty. Descrlption Total
Price
Interview Board lunches-4 days $337.98 $112.66
Mayor
Andy Cook Please pay:%Vestfleld Fire Department
17535 Dartown Road
City Council Westfield,IN 46.074
John Dippel -. -
Steve Hoover Please put attentiou Kristen spanks
Robert L.Horkay - -
Ken Kingshill
Robert J.Smith
Tom Smith
Rob Stokes
Clerk Treasurer
Cindy J. Gossard
Fire Department
(317)804-3333 admin office
(317)804-3395 fax
17535 Dartown Road
Westfield, IN 46074
westfield.in.gov
IN
VOUCHER NO. WARRANT NO.
ALLOWED 20
�ity�rF Westfield -f'��i �� IN SUM OF $
Kristen Sparks
17535 Dartown Road
Westfield, IN 46074
$112.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept.
INVO116E NO. ACCT#/TITLE AMOUNT Board Members
1120 I ` 120-851.00 ( $112.66 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
MAY 6 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
escribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
Thom, 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))
Meals for Interview Board $112.66
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