256652 03/18/16 f Coq
Ef CITY OF CARMEL, INDIANA VENDOR: 370415
®. `1 ONE CIVIC SQUARE MICHAEL& KATHY SPENCER CHECK AMOUNT: $********13.39*
9 =q CARMEL, INDIANA 46032 10130 HILLSDALE DR CHECK
NUMBER: 25652
«bn CARMEL IN 46032 CHECK 16
16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 347255501 13.39 OTHER EXPENSES
VOUCHER # 154645 WARRANT# ALLOWED
370415 IN SUM OF $
SPENCER, MICHAEL & KATHY
10130 HILLSDALE DR
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
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1 Board members
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PO# INV# ACCT# AMOUNT �� Audit Trail Code
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347255501 01-4611-00 $13.39
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Voucher Total $13.39
Cost distribution ledger classification if
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claim paid under vehicle highway fund
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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
370415
SPENCER, MICHAEL& KATHY Purchase Order No.
10130 HILLSDALE DR 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 347255501 $13.39
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 4 ice