256963 03/31/16 (9,
CITY OF CARMEL, INDIANA VENDOR: MARK CHECK AMOUNT: $*********4.80*
ONE CIVIC SQUARE MARKSCHAAFCARMEL, INDIANA 46032 14925 POLLARD DR CHECK NUMBER: 256963
WESTFIELD IN 46074 CHECK DATE: 03131/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0781403400 4.80 OTHER EXPENSES
CARMEL UTILITIES'CUSTgMER;
Your account has'been finaled'. This check is for amoverpayment on,your;account, If you have questions,,please call
317/5714442
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
370472
SCHAAF, MARK Purchase Order No.
14925 Pollard Dr Terms -
Westfield, IN 46074 Due Date 3/29/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1
3/29/2016 0781403400 $4.80
iereby certify that the attached invoice(s), or bill(s) is (are)true and
)rrect and I have audited same in accordance with IC 5-11-10-1.6
Date icer
VOUCHER# 161063 WARRANT# ALLOWED
3704-72 IN SUM OF $
SCHAAF, MARK iD
14925 Pollard Dr %st
Westfield, IN 46074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0781403400 01-4611-00 $4.80
ij
Voucher Total $4.80
Cost distribution ledger classification if
claim paid under vehicle highway fund