244589 04/21/15 y u�.S�qy
�'/ `� CITY OF CARMEL, INDIANA VENDOR: 00350366
ONE CIVIC SQUARE THE TIMES CHECK AMOUNT: $"•"'`1 12.00•
:9 CARMEL, INDIANA 46032 641 WESTFIELD RD CHECK NUMBER: 244589
�'��rtiii��°'` NOBLESVILLE IN 46060 CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
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Prescribed by State Board of AccountsACCOUNTS 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.
T*u
,��u Purchase Order No.
�) ! SL)k X1 d1N Terms
�l✓I S ��� 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.
fjrhl�IN/ ! ALLOWED 20
\ I
l � IN SUM OF $
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V�
i
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or DEPT.# INVOICE NO. ACCT#!TITLE 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
j for which charge is made were ordered and
received except
20
Signature
`
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund