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JY ,? CITY OF CARMEL, INDIANA VENDOR: 00350359
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:� ?�; CARMEL, INDIANA 46032 41 E.WASHINGTON,SUITE 200 CHECK NUMBER: 236424
`M�*UN�� INDIANAPOLIS IN 46204 CHECK DATE: 08/27/14
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41 E.Washington St..Suite 200 • Indianapolis.IN 46204
505970 IBJ2C 2 3002669
DIANA CORDRAY
CLERK/TREASURER'S OFFICE
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL IN 46032
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505970 113J2C2 3002669
DIANA CORDRAY
CLERK/TREASURER'S OFFICE
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL IN 46032
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City FormNo.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.
I Payee
l
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 - 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
�l s Ij 4,104
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
?J 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
=� 20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund