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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))
02/05/15 Renewal $69.00
I
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1,
I herebycertify that the attached invoice(s), or bill s), is(are)true and correct and I have audited same in accordance
Ybill(
s),
IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IBJ
IN SUM OF $
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$69.00
ON ACCOUNT OF APPROPRIATION FOR
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PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 Renewal 43-552.00 $69.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
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received except
Monday, February 16, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund