HomeMy WebLinkAbout256857 03/31/16 0<� '��",, . CITY OF CARMEL, INDIANA VENDOR: 370469
® ONE CIVIC SQUARE ANDRE MELTON CHECK AMOUNT: $" "'""291.84`
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CARMEL, INDIANA 46032 PO BOX 3053 CHECK NUMBER: 256857
9" i�oNi4'� BELLAIR TX 77402 CHECK DATE: 03/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1342436802 291.84 OTHER EXPENSES
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
370469
MELTON, ANDRE Purchase Order No.
PO Box 3053 Terms
Bellair, TX 77402 Due Date 3/29/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/29/2016 1342436802 $291.84
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
/l/f,YJ
Datefficer
VOUCHER# 161060 WARRANT# ALLOWED
370469 IN SUM OF $
MELTOKODRE
PO Box 3053
Bellair, TX 77402
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1342436802 01-4611-00 $291.84
II
o.
s.
Voucher Total $291.84
Cost distribution ledger classification if
claim paid under vehicle highway fund
CARMEL UTILITIES CUSTOMERl
Your account has been finaled. This check is for an,overpayment on your.account.'lf you;have questions, pleasecall'
317%01-2442'