HomeMy WebLinkAbout252949 01/08/16 CITY OF CARMEL, INDIANA VENDOR: 370177
" ONE CIVIC SQUARE ADELA POLLOCK CHECK AMOUNT: $•i r.■a.185 98"
,3 CARMEL, INDIANA 46032 9 WOODLAND DRIVE CHECK NUMBER: 252949
CARMEL IN 46032 • CHECK DATE: 01/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 185.98 OTHER EXPENSES
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ! ACCT.
CARMEL, INDIANA
AJe1r, n�I��a, Of
�J
9 woow Or
amej IN 460_32
Total Amount of Voucher $
Deductions
I
Amount of Warrant $
1
Month of Yr
VOUCHER RECORD Acct.
i
No.
Source of Supply
Water Treatment
Transmission and Dist. I
Customer Accounts
Administrative and General
Operation-Maintenance I
t
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies ;
Customers Deposits
I
I
Total �I
Allowed `
i
Board of Control !
Filed
Official Title I
BOYCE FORMS•SYSTEMS 1-600-382-8702 325
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYABLE iVOyalk)ck,
CHER
�I
TO
ADDRESS q lr opd( 16632
Invoice Date Invoice Number Item Amount
Chu ' 1"65 ,9
F--, 053 a.3 00
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.
! ,1
Mo. Day Yr. r Officer Title
F