257963 04/26/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 370542
ONE CIVIC SQUARE JAMES LONG CHECK AMOUNT: $********18.06*
CARMEL, INDIANA 46032 18161 KNOBSTONE WAY CHECK NUMBER: 257963
WESTFIELD IN 46074 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 672039013 18.06 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
370542
LONG, JAMES Purchase Order No.
18161 KNOBSTONE WAY Terms
WESTFIELD, IN 46074 Due Date 4/19/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/19/2016 672039013 $18.06
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 Of4cer
VOUCHER # 161273 WARRANT # ALLOWED
370542 IN SUM OF $
LONG, JAMES ;
18161 KNOBSTONE WAY
WESTFIELD, IN 46074
9
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR j
Board members
PO# INV# ACCT# AMOUNT .� Audit Trail Code
i
672039013 01-4611-00 $18.06 }
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Voucher Total $18.06
Cost distribution ledger classification if
claim paid under vehicle highway fund
CARMEL Ul ILITIES CUSTOMER;:
Your.account has.peen finaled. This check s for an overpayment on your„account If you have.,auestions, please call
t ,
317/571 2442, `
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