HomeMy WebLinkAbout254144 02/05/16 �/ CITY OF CARMEL, INDIANA VENDOR: 370292
� '1 ONE CIVIC SQUARE WORDEN, IAN CHECK AMOUNT: $********21.98*
r'. r4 CARMEL, INDIANA 46032 5005 MAIN ST#B12 CHECK NUMBER: 254144
9M,�TON�. TACOMA WA 98407 CHECK DATE: 02/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1451301001 21.98 OTHER EXPENSES
VOUCHER # 154250 WARRANT# ! ALLOWED
370292 �� IN SUM OF $
WORDEN, IAN
5005 MAIN ST#812
TACOMA, WA 98407
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
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` Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1451301001 01-4611-00 $21.98
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Voucher Total $21.98
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
370292
WORDEN, IAN Purchase Order No.
5005 MAIN ST#812 Terms
TACOMA, WA 98407 Due Date 2/2/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/2/2016 1451301001 $21.98
hereby certify that the attached invoice(s), or bill(s) is (are)true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date fficer