240606 01/06/15 CITY OF CARMEL, INDIANA VENDOR: 042595
ONE CIVIC SQUARE CARMEL CLAY SCHOOLS-FUEL PAYMEKMECK AMOUNT: $*"******33.10*
CARMEL, INDIANA 46032 EDUCATION SERVICE CENTER CHECK NUMBER: 240606
5201 E MAIN ST CHECK DATE: 01/06/15
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4231400 2014-122 33.10 GASOLINE-COMM CENTER
-7. 71 F.z L 17
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Clay Schools
IN SUM OF $
Educational Services Center
5201 E. 131 st Street
Carmel, IN 46033
$105.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1115 I 2014-122 I 42-314.00 I - .�0
bill(s)
is are true and correct and that the
materials or services itemized thereon for
11 which charge is made were ordered and
received except
Wednesday, December 31, 2014
(rector
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.
i
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
12/31/14 2014-122 $105.20
i
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
I