HomeMy WebLinkAbout247004 06/30/15i
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CITY OF CARMEL, INDIANA VENDOR: 368343
® ONE CIVIC SQUARE RICHARD THOMAS CHECK AMOUNT: $ "'""100.00*
r' CARMEL, INDIANA 46032
CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 GAZEBO REFUND
Prescribed by Slate 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.
z
Payee T
CTI a_r � . / A Z)'M A_ Purchase Order No.
/5,41S) Terms
_�oOc�
�ci ��fe- _I �7y� 5 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6-/6-lam o2015- Af M zIVA Dr 6ho4o - a-zebD O' e
Total
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.
, 20-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
%S'� �' Ta-�'i, q��GcJoD�•/_�/"• IN SUM OF $
a- 4/790
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
/O 6-02-3 g90 %PV 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund