252933 1 2/29/1 5 uS_4Agy
CITY OF CARMEL, INDIANA VENDOR: 369238
ONE CIVIC SQUARE ROBERT PATTERSON CHECK AMOUNT: $"""`•1,500.00"
CARMEL, INDIANA 46032 PO BOX 3159 CHECK NUMBER: 252933
CARMEL IN 46082-3159 CHECK DATE: 12/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4353099 1,500.00 OTHER RENTAL & LEASES
Rental Invoice for 631 Mohawk Ct. Carmel, In. 46033
For the period 12/15/2015 to 01/16/2016 $1500.00
Remit to Robert E. Patterson
P.O. Box 3159
Carmel, In. 46082-3159
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
1120 43-530.99 $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
me 2 a 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n 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
r
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
120
Clerk-Treasurer