258031 04/26/16 •u��C,gM
��® ,� CITY OF CARMEL, INDIANA VENDOR: 370539 ;****** t
ONE CIVIC SQUARE TIANPING SHEN CHECK AMOUNT: $ 5.10
=q CARMEL, INDIANA 46032 13758 MARYLOU DR CHECK NUMBER: 258031
�;,�TON�. CARMEL IN 46074 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1132472201 5.10 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
370539
SHEN, TIANPING Purchase Order No.
13758 MARYLOU DR Terms
CARMEL, IN 46074 Due Date 4/19/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/19/2016 1132472201 $5.10
'hereby certify that the attached invoice(s), or bill(s) is (are)true and
xrect and I have audited same in accordance with IC 5-11-10-1.6
Date U '0466r
i
VOUCHER # 161275 WARRANT# ALLOWED
370539 IN SUM OF $
SHEN, TIANPING
13758 MARYLOU DR
CARMEL, IN 46074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1132472201 01-4611-00 $5.10
I
u
pi
t}
,I
i
r
Voucher Total $5.10
Cost distribution ledger classification if
claim paid under vehicle highway fund
CARMELUTILITIES CUSTOMER;'
Your account has been finaledThis check`is for an overpayment on youraccount If yo'u have'questrons, please call
317/571 2442
x