223473 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1
RE ONE CIVIC SQUARE ANN GALLAGHER
0 CHECK AMOUNT: $23.06
CARMEL, INDIANA 46032 171 PARKVIEW COURT
CARMEL IN 46032 CHECK NUMBER: 223473
CHECK DATE: 8/2712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 23 . 06 OTHER EXPENSES
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#347 NW INDIANAPOL
9010 MICHIGAN • AD
INDIANAPOLIS, '46268
MEMBER #111 7781311
END OF RESALE
E 649576 FRITOLF"' 54CT--" 12.39
E10000084486 CPN/F TO 3.00-
E 759375 GF S „ /SVRY 6.69
E 10134 **KS�'WATER** 3.49
E 10134 **KS WATER** 3.49
TOTALf�tL�
VF
SWIPED
08/15/13 12:01 PIN USED
Sea#: 003876 APN#: 167959
EFT/DEBIT ResP: AA
Tran ID#: 322745233000
Merchant ID 99034711
APPROVED - PURCHASE
AMOUNT: $23.06
------ -0347-008 0000000074-0024
- ---- -------------- ----------
f
CHANGE .00
COUPONS TENDERED 3.00
TOTAL NUMBER OF ITEMS SOLD a 4
CASHIER: Janlris REG# 8
"WaJ: 12:01 0347 08 0024 74
Thank. You!
Please' Come Again!
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))
08/15/13 refreshments/Citizen's Academy $23.06
I 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.
Ann Gallagher ALLOWED 20
IN SUM OF $
171 Parkview Court
Carmel, IN 46032
$23.06
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
852 -852.00 $23.06
I hereby certify that the attached invoice(s), or
I I 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
Wednesday, August 21, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund