HomeMy WebLinkAbout254099 02/05/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 370284
CHECKAMOUNT: S********24.41*
ONE CIVIC SQUARE JASMINE LEECARMEL, INDIANA 46032 33731 ROME DR CHECK NUMBER: 254099
LAFAYETTE IN 47905 CHECK DATE: 02/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1030110504 24.41 OTHER EXPENSES
A
VOUCHER # 154238 WARRANT # ALLOWED
370284 IN SUM OF $
LEE, JASMINE
33731 ROME DR
LAFAYETTE, IN 47905
s
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1030110504 01-4611-00 $24.41
}}
i{
ij
I
t
Voucher Total $24.41 t
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
370284
LEE, JASMINE Purchase Order No.
33731 ROME DR Terms
LAFAYETTE, IN 47905 Due Date 2/2/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/2/2016 1030110504 $24.41
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 icer