HomeMy WebLinkAbout221021 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 079900 Page 1 of 1
ONE CIVIC SQUARE GARY DUFEK CHECK AMOUNT: $5.98
CARMEL, INDIANA 46032 12610 OVERTURE DRIVE
CARMEL IN 46033 CHECK NUMBER: 221021
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4359000 5 . 98 SPECIAL PROJECTS
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* * BALANCE 5'.98
CASH �`- 10.00 .
CHANGE 4.02
TOTAL NUMBER OF T tEMS S01 iiv 2
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CHARL BECHEL, MANAGER
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CITY OF CARMEL
FIRE DEPARTMENT
DATE: June 13, 2013
TO: Cindy Sheeks
FROM: Matthew Hoffman, Fire Chief
Attached you will find a reimbursement claim in the amount of$5.98 for expenses incurred while the CPSE
Peer Team was at the Fire Department the week of June 9-13"'. I have also attached the contract stating the
agency agrees to pay for these expenses.
If you have any questions, please feel free to contact me.
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))
$5.98
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gary Dufek
IN SUM OF $
$5.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 43-590.00 I $5.98 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
SIN 1 013
ZP
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund