HomeMy WebLinkAbout259317 06/03/16 CITY OF CARMEL, INDIANA VENDOR: 370652
.,; � '�l• ONE CIVIC SQUARE LARRY WORLEY
CHECK AMOUNT: $********58.97*
:•. ,� CARMEL, INDIANA 46032 5521 SALEM DR N CHECK NUMBER: 259317
9y�TaN CARMEL IN 46033 CHECK DATE: 06/03/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601_ 5023990 61568306 58.97 OTHER EXPENSES
VOUCHER # 161655 WARRANT # ALLOWED
370652 IN SUM OF $
WORLEY, LARRY
5521 SALEM DR N
CARMEL, IN 46033
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
61568306 01-4611-00 $58.97
Voucher Total $58.97
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
370652
WORLEY, LARRY Purchase Order No.
5521 SALEM DR N Terms
CARMEL, IN 46033 Due Date 6/1/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2016 61568306 $58.97
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