HomeMy WebLinkAbout258121 04/29/16 ♦y u'4�p3f
CITY OF CARMEL, INDIANA VENDOR: 361415
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ONE CIVIC SQUARE PENNY DALEY CHECK AMOUNT: $*******125.00*
=a; CARMEL, INDIANA 46032 520 SUPERSTAR COURT CHECK NUMBER: 258121
MUTON�, CARMEL IN 46032 CHECK DATE: 04/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 42616 125.00 OTHER EXPENSES
VOUCHER# 161296 WARRANT# ALLOWED
361415 IN SUM OF $
DALEY NNY
DISTRIB TION
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
42616 01-6360-06 $125.00
Voucher Total $125.00
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
361415
DALEY, PENNY Purchase Order No.
DISTRIBUTION Terms
Due Date 4/25/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/25/2016 42616 $125.00
I hereby certify that the attached invoice(s), or bill(s) is(are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
-71i L no,,,-
Date Officer
Cleaning Invoice
Date Fee Place
a4-Apr-16 $125 Water Dist Office
Please remit to: Penny Daley
Carmel Water Dist Office
3450 W 131st St
Carmel, IN 46074
317-733-2855
Total Due $125.00
Pe'r.nyvDaley
520 Super Star Ct
Carmel, IN 46032
317-374-1542
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