242178 02/17/15 ,.Cilq
CITY OF CARMEL, INDIANA VENDOR: 360614
ONE CIVIC SQUARE INDIANA BUREAU OF MOTOR VEHICLE9:HECK AMOUNT: $.....**627.00*
CARMEL, INDIANA 46032 100 N SENATE AVE ROOM N415 CHECK NUMBER: 242178
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INDIANAPOLIS IN 46204 CHECK DATE: 02/17/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 627.00 DUP TITLES
I
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.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.
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Payee
�/� -�j��Vi'�
V l 1 � 'b��t IC'IeS Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(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.
1 LLOWED 20
Ul• v J/�J/ IN SUM OF $
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
/ 20
Sign re
Cost distribution ledger classification if Title
claim paid motor vehicle highway,fund