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226980 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 248970 Page 1 of 1 1 � ONE CIVIC SQUARE ANN GALLAGHER CHECK AMOUNT: $23.57 s;®_ CARMEL, INDIANA 46032 171 PARKVIEW COURT CARMEL IN 46032 CHECK NUMBER: 226980 CHECK DATE: 12/11/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 23 . 57 OTHER EXPENSES Amazon.com - Order 113-8095380-0405026 Page 1 of 1 amazon.com• Details for Order #113-8095380-0405026 Print this page for your records. Order Placed: December 6, 2013 Amazon.com order number: 113-8095380-0405026 Order Total: $23.57 Not Yet Shipped Items Ordered Price 1 of: Prime Products 27-0017 Mini Motor Home and Speed Boat $17.99 Condition: New Sold by: Amazon.com LLC Shipping Address: Ann Gallagher 171 Parkview Ct Carmel, IN 46032-5126 United States Shipping Speed: Standard Shipping Payment information Pavment Method: Item(s) Subtotal: $17.99 — Shipping & Handling: $5.58 Billing address Total before tax: $23.57 Aran Gallagher Estimated tax to be collected: $0.00 171 Parkview Ct Carmel, IN 46032-5126 Grand Total.-$23:57 _-7- United States To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. Conditions of Use I Privacy Notice© 1996-2013, Amazon.com, Inc. or its affiliates https://www.amazon.com/gp/css/suminaiy/print.html?ie=UTF8&orderID=113-8095380-0... 12/6/2013 VOUCHER NO. WARRANT NO. ALLOWED 20 Ann Gallagher IN SUM OF $ 171 Parkview Court Carmel, IN 46032 $23.57 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Gift Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 852 -852.00 $23.57 I hereby certify that the attached invoice(s), or 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 Friday, December 06, 2013 Chief of Police 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)) 12/06/13 employee retirement $23.57 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