257367 04/08/16 CITY OF CARMEL, INDIANA VENDOR: 370489
\. CHECK AMOUNT: $".."•'"5.10'
ONE CIVIC SQUARE DONALD MILLER
s• '� CARMEL, INDIANA 46032 4171 SEMINOLE DR CHECK NUMBER: 257367
ROYAL OAK MI 48073 CHECK DATE: 04/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 231936001 5.10 OTHER EXPENSES
VOUCHER # 161091 WARRANT# ALLOWED
370489 IN SUM OF $
MILLER, DONALD
4171 SEMINOLE DR
ROYAL OAK, MI 48073
I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
231936001 01-4611-00 $5.10
I
I
Voucher Total $5.10
1
Cost distribution ledger classification if
claim paid under vehicle highway fund
'rescribed 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
370489
MILLER, DONALD Purchase Order No.
4171 SEMINOLE DR Terms
ROYAL OAK, MI 48073 Due Date 4/5/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/5/2016 231936001 $5.10
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 Officer