256663 03/18/16 �i ''f� CITY OF CARMEL, INDIANA VENDOR: 370412
® it ONE CIVIC SQUARE SCOTT&AMY MATHISON CHECK AMOUNT: $"t""'23.01
:• ?�' CARMEL, INDIANA 46032 412 LEXINGTON BLVD CHECK NUMBER: 256663
��'��TaN E°. CARMEL IN 46032 CHECK DATE: 03/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 721399804 23.01 OTHER EXPENSES
VOUCHER # 154641 WARRANT# i ALLOWED
I
370412 IN SUM OF $
MATHISON, SCOTT & AMY
412 LEXINGTON BLVD
CARMEL, IN 46032
�I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
721399804 01-4611-00 $23.01
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Voucher Total $23.01
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
370412
MATHISON, SCOTT&AMY Purchase Order No.
412 LEXINGTON BLVD Terms
CARMEL, IN 46032 Due Date 3/15/2016
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
3/15/2016 721399804 $23.01
hereby certify that the attached invoice(s), or bill(s) is (are)true and
xrect and I have audited same in accordance with IC 5-11-10-1.6
Date e