252928 12/29/15 Coq
y',._,*f CITY OF CARMEL, INDIANA VENDOR: 086700
® ONE CIVIC SQUARE HAL ESPEY CHECK AMOUNT: $*****1,200.00*
x, ?Q CARMEL, INDIANA 46032 12030 CASTLE ROW OVERLOOK CHECK NUMBER: 252928
9.y,,roN��,` CARMEL IN 46033 CHECK DATE: 12/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4341999 1,200.00 OTHER PROFESSIONAL FE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
No/ ES pe y Purchase Order No.
J20 3O C xs& goof ('�✓erin o, Terms
C(-me- 2V '16033 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Ick`5-15 I ic�eo e CCew� � me � 00
5 00
- 2^ o0
- S 1 c0
i - - 15 ale- a-IV n')01)C;1 mejjnjq20
15 & 2—'
Total °0
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
.an
ON ACCOUNT OF APPROPRIATION FOR
q
/
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
I a_
2015
Sign re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund