HomeMy WebLinkAbout235261 07/24/14 �('4�q\� CITY OF CARMEL, INDIANA VENDOR: 119800
{ ® 1 ONE CIVIC SQUARE HAMILTON COUNTY AUDITOR CHECK AMOUNT: $********10.00*
9 ;_�; CARMEL, INDIANA 46032 HAMILTON COUNTY COURTHOUSE CHECK NUMBER: 235261
MiFoN�° TRANSFER&MAPPING CHECK DATE: 07/24/14
NOBLESVILLEIN 46060
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 10.00 RECORDING FEES
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.352
RECEIPT C
HAMILTON COUNTY AUDITOR U
�J
FUND
SIU N D
NOBLESVILLE, IN, I-dJ '7 , 20
RECEIVED FROM CA114 C-nu ✓1 k.Q-e $
THE SUM OF DOLLARS
100
ON ACCOUNT OFa
V
PAID BY: ❑CASH ❑CHECK ❑M.0. AUTHORIZED SIGNATURE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. A`CCTT##/TITLE AMOUNT
DEPT.# I 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
p
i
i
c
4
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund