241266 01/22/15 CITY OF CARMEL, INDIANA VENDOR: 361415
® ONE CIVIC SQUARE PENNY DALEY CHECK AMOUNT: $**- ""125.00*
CARMEL, INDIANA 46032 520 SUPERSTAR COURT CHECK NUMBER: 241266
°y!`>oH dor CARMEL IN 46032 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 11615 125.00 OTHER EXPENSES
Cleaning Invoice
Week Date Fee Place
Jan f q j 2015 125.00 Water Dist Office
Please Remit to: Penny Daley-GIS Tech
Carmel Water Dist Office
3450 W 131" Street
Carmel, IN 46074
(317) 733-2845
Total Due: 125.00
PLjgy Daley
520 Super Star Ct
Carmel, IN 46032
317-374-1542
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 1/13/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/13/2015 11615 $125.00
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
Date Officer
VOUCHER # 142731 WARRANT # ALLOWED
T1029 IN SUM OF $
Daley, Penny
Distribution
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
11615 01-6360-06 $125.00
Voucher Total $125.00
Cost distribution ledger classification if
claim paid under vehicle highway fund