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249438 09/09/15 •CSA , CITY OF CARMEL, INDIANA VENDOR: 00350366 ONE CIVIC SQUARE THE TIMES CHECK AMOUNT: S'"'"'"23 99' CARMEL, INDIANA 46032 641 WESTFIELD RD CHECK NUMBER: 249438 NOBLESVILLE IN 46060 CHECK DATE: 09/09/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4345500 TL8408 23.99 PUBLICATION OF LEGAL The Times Invoice 641 Westfield Rd. Noblesville, IN 46060 Date Invoice# 8212015 TL 8408 Bill To City of Carmel- Dept of Community Services ONE CIVIC SQUARE CARMEL, IN 46032 Description Qty Rate Amount Notice(15080004 OA) $23.99 $23.99 Ad Ran: 8/21/2015 PLEASE INCLUDE YOUR INVOICE NUMBER(TL8408)ON YOUR CHECK WHEN MAKING A PAYMENT Subtotal $23.99 Total $23.99 Balance Due $23.99 Prescribed by State Board of Accounts City Form No.201(Rev.1995) I 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. I I Terms Date Due I Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/21/15 TL 8408 15080004 OA $23.99 i i 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 The Times IN SUM OF $ 641 Westfield Road Noblesville, IN 46060 $23.99 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT i Board Members 1192 TL 8408 43-455.00 $23.99 I hereby certify that the attached invoice(s), or I I ' 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 I Thursday, September 03, 2015 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund