HomeMy WebLinkAbout252948 01/04/16 +oi_fgnM
CITY OF CARMEL, INDIANA VENDOR: 370167
�., CHECK AMOUNT: $•""•4,300.00'
ONE CIVIC SQUARE ALBERT CHEN
s� ja; CARMEL, INDIANA 46032 672 SUFFOLK LANE CHECK NUMBER: 252948
�,�"ON„�, CARMEL IN 46032 CHECK DATE: 01/04/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 REFUND 4,300.00 OTHER EXPENSES
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYABLE�V/ QQ HQE,,R
TO
ADDRESSrm
�l kf
I voice Date Invoice Number Item Amount
L�3CO, 6b
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
Mo. Day Yr. Signature Title
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. L11
Mo. Day Yr. Officer Title
i
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANOCT.
CARMEL, INDIANA
AI be f Favor Of
6-71 of k l.►�
Total Amount of Voucher $
Deductions
Amount of Warrant $ u'
i
Month of Yr
I
Acct.
VOUCHER RECORD No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
i
Constr.Work in Progress
Materials and Supplies
Customers Deposits
t
I
Total
Allowed
Board of Control
Filed
Official Title
i
BOYCE FORMS•SYSTEMS 1-800-382-8702 325