HomeMy WebLinkAbout259321 06/03/16 �� 4�p\- CITY OF CARMEL, INDIANA VENDOR: 367309
® ,) ONE CIVIC SQUARE JEFFREY CARLISLE CHECK AMOUNT: $********28.90*
,� �_�; CARMEL, INDIANA 46032 203 SECRET ARIATS WAY CHECK NUMBER: 259321
M��fBN�°' BELVIDERE IL 61008 CHECK DATE: 06/03/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 465337005 28.90 OTHER EXPENSES
VOUCHER # 161636 WARRANT # ALLOWED
367309 IN SUM OF $
CARLISLE, JEFF
203 Secretariats Way
Belvidere, IL 6.1008
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
465337005 01-4611-00 $28.90
44
Voucher Total $28.90
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
367309
CARLISLE, JEFF Purchase Order No.
203 Secretariats Way Terms
Belvidere, IL 61008 Due Date 5/31/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/31/2016 465337005 $28.90
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