221026 06/01/2013 CITY OF CARMEL, INDIANA VENDOR: 357338 Page 1 of 1
ONE CIVIC SQUARE CHRISTOPHER ELLISON CHECK AMOUNT: $12.00
t CARMEL, INDIANA 46032 8772 RANDALL DRIVE
FISHERS IN 46038 CHECK NUMBER: 221026
CHECK DATE: 6118/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4359000 12 . 00 SPECIAL PROJECTS
MCALISTER ' S DELI
CARMEL #1364
2550 EAST 146TH STREET
CARMEL, IN 46033
397414
CHEYENNE K Table 224
Mon 10/06/2013 10:35 AM Guests 6
----------------------------------------
1 GRAB_N_GO SWEET 5.50
2 NOT WORKS 0.00
1 GRAB_N_GO UNSWE 5.50
----------------------------------------
SubTotal 11 .00
Taxes. . . 1 .00
Total 12 . 00
VISA Amount Applied 12.00
VISA Tendered 12.00
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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$12.00 for expenses incurred while the
CPSE Peer Team was at the Fire Department the week of June 9-13`h. 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))
$12.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Chris Ellison
IN SUM OF $
$12.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 43-590.00 I $12.00 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
u iAi �Zgt3
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund