HomeMy WebLinkAbout258701 05/13/16 CITY OF CARMEL, INDIANA VENDOR: T0002401
J/ 1. CHECK AMOUNT: $********63.36*
:�; ® ., ONE CIVIC SQUARE BRENDA MOSBAUGH
:9 ,?�; CARMEL, INDIANA 46032 120 9TH ST NW CHECK NUMBER: 258701
.y�«oN�. CARMEL IN 46032 CHECK DATE: 05/13/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 141820912 63.36 OTHER EXPENSES
VOUCHER # 161473 WARRANT# ALLOWED
T0002401 IN SUM OF $
MOSBAUGH, BRENDA
15646 Oakridge Road
Wesfield, IN 46074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
141820912 01-4611-00 $63.36
Voucher Total $63.36
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
T0002401
MOSBAUGH, BRENDA Purchase Order No.
15646 Oakridge Road Terms
Wesfield, IN 46074 Due Date 5/10/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/10/2016 141820912 $63.36
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 Officer