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HomeMy WebLinkAbout258121 04/29/16 ♦y u'4�p3f CITY OF CARMEL, INDIANA VENDOR: 361415 ® 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 lJ�