247774 07/28/1 5 0y ��p":f CITY OF CARMEL, INDIANA VENDOR: 365254
(i ONE CIVIC SQUARE JAMES BUTTLER CHECK AMOUNT: $********69.98*
=4 CARMEL, INDIANA 46032 7218 W FOX VIEW TR CHECK NUMBER: 247774
9y,.roN�` NEW PALESTINE IN 46163 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 69.98 POSTAGE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Buttler
IN SUM OF $
$69.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-421.00 $69.98 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 2 7
n A
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
)rescribed by State Board of Accounts City Form No 201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Nn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
$69.98
1 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