249396 09/09/1 5 ,_CAA .
';' CITY OF CARMEL, INDIANA VENDOR: 00350363
!; ® a ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $"""""8 97'
CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK NUMBER: 249396
<''«uH� C/0 MAYOR'S OFFICE CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 RECEIPT 8.97 PROMOTIONAL FUNDS
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1424 WesI Carmel Dr.
4'arincl, IN 46032. •#130
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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))
08/28/15 Receipt $8.97
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash - Mayor Brainard
IN SUM OF$
One Civic Square
Carmel, IN 46032
$8.97
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 Receipt 43-551.00 $8.97 I 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
Friday, September 04, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund