222346 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 00351564 Page 1 of 1
` ONE CIVIC SQUARE GARY CARTER
CARMEL, INDIANA 46032 4748 BISHOPSGATE DR CHECK AMOUNT: $141.33
CARMEL IN 46032 CHECK NUMBER: 222346
fION O
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 141 .33 OTHER EXPENSES
O ' MALIA #206
4755 E. 126TH ST,
CARMEL, IN 46033
(317)844-4372
24 @5.19 HOME CITY ICE 22 4 124.56 F
**** TAX .00 BAL 124.56
3 @5.59 GEN, MERCHANDISE 16.77 T
**** TAX 1 . 17, BAL 142.50
3 @ 5.59
CL 9907 GEN. MERCHANDISE 16.77-T
9901 GROCERY 5.59 F
9901 GROCERY 5.59 F
9901 GROCERY 5.59 F
**** TAX .00 BAL 141 .33
O'MALIA 4206
4755 E. 126TH ST .
_ CARMEL, IN 46083
(317)844-4372
c.
-EF-T CREDIT PURCHASE 07/24/13 03:35 PM
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RUTH:05867B
PAYMENT AMOUNT 191 .33
--------------------------------------
VF CREDIT 141 .33
CHANGE .00
TOTAL NUMBER OF ITEMS SOLD = 27
7/24/13 3:35 PM 0206 70 0027 176
YOUR CASHIER WAS OFFICE
THANK YOU FOR SHOPPING
O ' MALIA
CHECK US OUT: http://www.omallas.com
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NO Ordered by and Date Ordered
DPA Signature DPA Signature
Rev.03/15!11
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gary Carter
IN SUM OF $
$141.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1 120-851.00 I $141.33 I 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
Fire Chief
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))
$141.33
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