HomeMy WebLinkAbout253856 01/26/16 a°�•�qM
q'/ �• CITY OF CARMEL, INDIANA VENDOR: 361415
® i ONE CIVIC SQUARE PENNY DALEY CHECK AMOUNT: $'t r r r t r 125.00'
s. `�,; CARMEL, INDIANA 46032 520 SUPERSTAR COURT CHECK NUMBER: 253856
9y���ioN�` CARMEL IN 46032 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 12116 125.00 OTHER EXPENSES
Cleaning Invoice
Date Fee Place
21-Jan-16 $125 Water Dist Office
Please remit to: Penny Daley
Carmel Water Dist Office
3450 W 131st St
Carmel, IN 46074
317-733-2855
Total Due $125.00
Penny Daley
520 Super Star Ct
Carmel, IN 46032
317-374-1542
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
361415
DALEY, PENNY Purchase Order No.
DISTRIBUTION Terms
, Due Date 1/21/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/21/2016 12116 $125.00
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
/Z' -/4'
Date Officer
VOUCHER# 154107 WARRANT# ALLOWED
IN SUM OF $
361415
DALEY, PENNY
DISTRIBUTION
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
12116 01-6360-06 $125.00
Voucher Total $125.00
Cost distribution ledger classification if
claim paid under vehicle highway fund