HomeMy WebLinkAbout253928 01/26/16 y oi.FQxy
a`/ CITY OF CARMEL, INDIANA VENDOR: 370254
x ® it ONE CIVIC SQUARE MAZAIWANA, GUY CHECK AMOUNT: $********74.00*
9� ,?�; CARMEL, INDIANA 46032 5315 R P IN
WAY CHECK NUMBER: 253928
*or+�• CHECK DATE: 01/26116
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0111896408 74.00 OTHER EXPENSES
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
d Ufa p�Y �ti
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 K/,
Mo. Day Yr. Officer Title
Voucher No. Warrant No. {'
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. I ACCT.
CARMEL, INDIANA No.
3 76A 5/ Favor Of f
�u.j M 14ZAiwAVA
5316
C
Total Amount of Voucher
i
Deductions
b
06 7LI 60 i
o11t 61/05,
f
Amount of Warrant $
Month of Yr
Acct.
VOUCHER RECORD No.
Source of Supply
Water Treatment �l
Transmission and Dist. S
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
I,
1
Total I
Allowed
t
I
Board of Control
Filed I
1'
Official Title
BOYCE FORMS•SYSTEMS 1.800-382-8702 325