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255866 03/01/16
CITY OF CARMEL, INDIANA VENDOR: 370355 (9) ONE CIVIC SQUARE JOSEPH JACKSONCHECK AMOUNT: $********19.60* CARMEL, INDIANA 46032 CITY OF CARMEL CHECK NUMBER: 255866 CLERK TREASURER'S OFFICE CHECK DATE: 03/01/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4343004 022516 19.60 TRAVEL PER DIEMS WELUUnt TU MERCHANTS GARAGE PI.EASE KEEP 1HIS IICKEI WITH YOU Entered:- -" 2016/02/16 18:04 licket#:37593898 Dur/Duree:2:58:46 Paid On: 2016/02/16 21:03 Paid:$ 12.00 Original Fee:$ 12.00 CST:$ 0.00 PST:$ 0.00 Change:$ 0.00 VISA SC:$ 0.00 Merchant ID: ************5376 S UISA I Seq# 107652376 01008 Purchase 16/02/16 21:10:27 Auth# 000321 APPROUED Prescribed by State Board of Accounts City Forrn No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER . . - CITY OF CARMEL An invoice or bill,to be properly itemized must show: kind of serV.I.C% where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units,- price per unit, etc. Payee 11sl: V �ks©h Purchase Order No. •1 V� COL.( Terms Cl4,�l'K ' feAS��•e$5 ©k��G2 Date Due Invoice Invoice Description Amount Date Number (or note attached involce(s),,or bill(s)) �Z`tw. . elft 5 - �5 111, 6 QnLAI\ . .`(5 Total •b`J hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer