247431 07/15/15 ♦i �,4I,F
�,� ;� CITY OF CARMEL, INDIANA VENDOR: 369238
® it ONE CIVIC SQUARE ROBERT PATTERSON CHECK AMOUNT: $*****1,500.00*
=4 CARMEL, INDIANA 46032 PO BOX 3159 CHECK NUMBER: 247431
' soy CARMEL IN 46082-3159 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4352500 1,500.00 RENT PAYMENTS
ental Invoice for 631 Mohawk Ct.
Carmel,, In 46033
For the period from 7/15/2015 to 08/15/2015 $1500.00
Remit to
Robert E. Patterson
P.O. Box 3159
Carmel, In. 46082-3159
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$1,500.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Robert E. Patterson IN SUM OF $
PO Box 3159
Carmel, IN 46082-3159
$1,500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
$1,500.00 1 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
JUL 1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund