HomeMy WebLinkAbout229320 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 119800 Page 1 of 1
4f ONE CIVIC SQUARE HAMILTON COUNTY AUDITOR CHECK AMOUNT: $25.00
, o CARMEL, INDIANA 46032 HAMILTON COUNTY COURTHOUSE
.y� oN,`o TRANSFER&MAPPING CHECK NUMBER: 229320
NOBLESVILLE IN 46060
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 25 . 00 ADJOINER LIST
Date - 1 /�1 12 4 2 J
Received From —D(- P t e)
�. Address l�
a�
,a. N
Dollars $
For
—A)-tIrl'A Pr—
M
Z . . ., ..
AMT.OF CASH!
ACCOUNT
AMT,PAID CHECK yl� ,.
BALANCE MONEY ORDER❑ By r �` C,
DUE`- GREDITCARD❑ a
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))
02/21/14 012420 Adjoiner request fee-Docket14020004 $25.00
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
120-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton County Auditor
IN SUM OF $
33 N. 9th Street
Noblesville, IN 46060
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 012420 I 42-390.99 I $25.00 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
Friday, February 21, 2014
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund