256672 03/18/16 a��.c4gM
�`/ CITY OF CARMEL, INDIANA VENDOR: 368520
it ONE CIVIC SQUARE JAMES/LORIE ANDREWS CHECK AMOUNT: $•""`""'"4.08'
9� ,a�; CARMEL, INDIANA 46032 12132 BROOKSHIRE PKWY CHECK NUMBER: 256672
�,�,roN�, CARMEL IN 46033 CHECK DATE: 03/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 950060601 4.08 OTHER EXPENSES
VOUCHER # 154626 WARRANT# ALLOWED
368520 IN SUM OF $
ANDREWS, LORI & JAMES
1745 CREEKSIDE LN NW
CARMEL, IN 46032 s
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR 1
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
950060601 01-4611-00 $4.08
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Voucher Total $4.08 '
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
368520
ANDREWS, LORI Z JAMES Purchase Order No.
1745 CREEKSIDE LN NW Terms
CARMEL, IN 46032 Due Date 3/15/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/15/2016 950060601 $4.08
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 Offi r