HomeMy WebLinkAbout258024 04/26/16 4i/,c*',�. CITY OF CARMEL, INDIANA VENDOR: 370540
ONE CIVIC SQUARE COOPER SARAH &ROBERT CHECK AMOUNT: $*******"50.21
:9. i CARMEL, INDIANA 46032 4370 W 126TH ST CHECK NUMBER: 258024
,,,ETON� ZIONSVILLE IN 46077 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION _
601 5023990 1621321002 50.21 OTHER EXPENSES
VOUCHER # 161274 WARRANT# ALLOWED
370540 IN SUM OF $
COOPER, ROBERT & SARAH
4370 W 126TH ST 7
ZIONSVILLE, IN 46077
r
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1
1621321002 01-4611-00 $50.21
i
1
Voucher Total $50.21
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
370540
COOPER, ROBERT&SARAH Purchase Order No.
4370 W 126TH ST Terms
ZIONSVILLE, IN 46077 Due Date 4/19/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/19/2016 1621321002 $50.21
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 fficer
CARMEL UTILITIES--CUSTOMER,
Your,account.has bee n finaled. This checkis for-an overpayment.on your�account If you,have;questians; please ca 1.
'317/571-2442