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229892 03/12/14 �Coq- , `�V "c� CITY OF CARMEL, INDIANA VENDOR: 361415 (i� ® ONE CIVIC SQUARE PENNY DALEY CHECK AMOUNT: $ .....250.00' f CARMEL, INDIANA 46032 520 SUPERSTAR COURT CHECK NUMBER: 229892 ?-,roN.Eo` CARMEL IN 46032 CHECK DATE: 03/12/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 30314 250.00 OTHER EXPENSES Cleaning Invoice Week Date Fee Place Feb 24, 2014 125.00 Water Dist Office Mar 3, 2014 125.00 Water Dist Office Please Remit to: Penny Daley-GIS Tech Carmel Water Dist Office 3450 W 131St Street Carmel, IN 46074 (317) 733-2845 Total Due: 250.00 Pen y aley 520 Super Star Ct Carmel, IN 46032 317-374-1542 ,CQ VOUCHER # 134275 WARRANT # ALLOWED T1029 IN SUM OF $ Daley, Penny Distribution Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR i Board members PO# INV# ACCT# AMOUNT Audit Trail Code 30314 01-6360-06 $250.00 1 Voucher Total $250.00 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T1029 Daley, Penny Purchase Order No. Distribution Terms Due Date 2/26/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/26/2014 30314 $250.00 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 .3X/y Illy~ Date Officer