227490 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 367830 Page 1 of 1
+ e,q* ONE CIVIC SQUARE DOUGLAS SANFORD CHECK AMOUNT: $34.00
a CARMEL, INDIANA 46032 C/O CPo
CHECK NUMBER: 227490
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 34 . 00 UNIFORMS
KIM$ ALTERATIONS
9 E 126TH ST . SUITE A
CARMELP IN 46032
12/11/2013 13145151
MIO : 000000002701810
TID : 040059ZO
277230642997
CREDIT CARD
CARD : XXXXXXXXXXXX. -
INVOICE 0009
Batch U . 000477
APP Code: 004513
Entry Mode : SwiPed
Mode : Ontlne
SALE AMT $34 .00
CUSTOMER COPY
�r DD
G 91934
D SANFORD
(317)220-1162
Wed 12/11/13 13:18:44 C1erk:SUN
KIM'S ALTERATION
9-A EAST. 126TH ST.
CARMEL,IN 46032
(317)581-1632
THU
ITEM AMOUNT
JCACKET PATCH SEW 24.00
D-SHIRT PATCH SEW 10.00
PIECE 0
SUBT _
TO 34_UO
READY Y THU 12/13
111111111111111111 N II
* 91934 -k
. . . . . THANK YOU FOR YOUR BUSINESS . . . . .
VOUCHER NO. WARRANT NO.
ALLOWED 20
Douglas W. Sanford
IN SUM OF $
255 Fenster Drive
Indianapolis, IN 46234
$34.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-560.01 $34.00
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
Wednesday December 11, 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
1
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/11/13 reimbursement for patches sewn on $34.00
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