241590 01/27/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 369067
ONE CIVIC SQUARE JAMIE SCOTT CHECK AMOUNT: $*******140.10*
CARMEL, INDIANA 46032 1427 BUTTERNOT LANE CHECK NUMBER: 241590
INDIANAPOLIS IN 46234 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 OVERPMT 140.10 REFUND
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE\ VOUCH R
To �/�'1�►► C 71U,,t�,d3 Y
L41I L'
Invoice
N U7
ADDRESS /
Invoice Date Invoice Number r Item Amount
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
�0- do(
Mo. Day Yr. Signature Title
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. k, -"
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
CARMEL, INDIANA No.
Favor Of
Gc'-nijodc") LOA
Total Amount of Voucher $
Deductions
I
( Gt OM
I
,I
Amount of Warrant
$ NO ro
Month of ��u-
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
i
Administrative&General
i
I
Reclaimed Water Treatment
Reclaimed Water Distribution
i
Total
Allowed
Board Members
Filed
i
BOYCE FORMS•SYSTEMS 1-800-382-8702 325