HomeMy WebLinkAbout258497 05/10/16 �ur.copy
CITY OF CARMEL, INDIANA VENDOR: 369240
CHECK AMOUNT: $**'**2,000.00*
a ONE CIVIC SQUARE ROBERT E PATTERSON
CARMEL, INDIANA 46032 Po Box 3159 CHECK NUMBER: 258497
CARMEL IN 46082-3159 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4352500 051516 2,000.00 RENT PAYMENTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ROBERT E PATTERSON
PO BOX 3159 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by
CARMEL,IN 46082-3159 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$2,000.00 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO#/Dept.1 INVOICENO. ACCT#/FundInvoice Date Invoice# Description Amount
AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s))
0 I 43-525.00 I $2,000.00 1 hereby certify that the attached invoice(s),or 04/29/16 0 $2,000.00
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,May 02,2016
va'a'-Z�. -2k�,Ivf
David Haboush
Fire Chief
Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5-11-10-1.6
,20_
Clerk-Treasurer
Rental Invoice for 631 Mohawk Ct. Carmel, In. 46033
For the period 05/-15/20-16-to--06/15/2016 $2000.00
Remit to Robert E. Patterson
P.O. Box 3159
Carmel, In. 46082-3159